Gibson, Jeremy L.

Gibson, Jeremy L. is an individual health care provider with primary practice located at 4150 Crosspoint Blvd , Edinburg TX 78539-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gibson, Jeremy L. can be contacted via phone (956) 296-1960.

Contact Information

Primary practice address
4150 Crosspoint Blvd Edinburg TX 78539-1803
Phone: (956) 296-1960
Fax: (956) 296-2855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K9540 Texas

Profile Details

NPI number 1003876798
LBN Legal business name Gibson, Jeremy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 28th, 2023 - about last year

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 1003876798 NPPES
Texas Other 370019198 RR/MEDICARE
Texas MEDICAID 1446577-01 RR/MEDICARE
Texas Other 1446577-02 RR/MEDICARE
Texas Other 8B4705 RR/MEDICARE

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