Gibson, Angela Michelle

Gibson, Angela Michelle is an individual health care provider with primary practice located at 4100 Everett Dr Suite 400, Kyle TX 78640-6146. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gibson, Angela Michelle can be contacted via phone (512) 295-1333.

Contact Information

Primary practice address
4100 Everett Dr Suite 400 Kyle TX 78640-6146
Phone: (512) 295-1333
Fax: (512) 406-7327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L3310 Texas

Profile Details

NPI number 1093771859
LBN Legal business name Gibson, Angela Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 2nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093771859 NPPES
Texas MEDICAID 154127806
Texas Other 8B5305
Texas MEDICAID 1541278-01
Texas MEDICAID 154127805

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