Gibson, Allen Elvin

Gibson, Allen Elvin is an sole proprietor health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gibson, Allen Elvin can be contacted via phone (432) 685-1111.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M5723 Texas

Profile Details

NPI number 1912068446
LBN Legal business name Gibson, Allen Elvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912068446 NPPES
Texas MEDICAID 189374504
Texas Other P00429112

Popular Providers