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Organization
RAY N GIBSON, DO
Active
Organization
RAY N GIBSON, DO
Active
Parent organization
RAY N GIBSON,DO LLC STAMFORD MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAY N GIBSON,DO LLC STAMFORD MEDICAL CLINIC
Authorized official
RAY N GIBSON DO (OWNER)
(325) 823-3231
Entity
Organization
Contact information
Practice address
101 AVENUE J, ANSON, TX 79501-2113
(325) 823-3231
(325) 823-3098
Mailing address
101 AVENUE J, ANSON, TX 79501-2113
(325) 823-3231
(325) 823-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TXF9477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046DF
BCBS
TX
01
—
113528104
FIRSTCARE
TX
01
—
121408
SUPERIOR
TX
05
—
134935901
—
TX
Enumeration date
08/25/2008
Last updated
08/25/2008
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