Gibson, Charles Robert

Gibson, Charles Robert is an individual health care provider with primary practice located at 555 E Medical Center Blvd Suite 101, Webster TX 77598-4326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gibson, Charles Robert can be contacted via phone (281) 488-7213.

Contact Information

Primary practice address
555 E Medical Center Blvd Suite 101 Webster TX 77598-4326
Phone: (281) 488-7213
Fax: (281) 480-1623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 04082TG Texas

Profile Details

NPI number 1205830262
LBN Legal business name Gibson, Charles Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205830262 NPPES
Texas MEDICAID 124557301

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