Gibson, James
Gibson, James is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, which is considered as his primary health care specialty. Gibson, James can be contacted via phone (512) 628-1840.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Ste 200
Austin TX 78723-3078
Phone: (512) 628-1840
Fax: (512) 628-1841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | M7211 | Texas |
Profile Details
| NPI number | 1023121159 |
|---|---|
| LBN Legal business name | Gibson, James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jan 10th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023121159 | NPPES |
| Texas | MEDICAID | 172532704 | |
| Texas | MEDICAID | 172532706 |
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