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Organization
MATTHEW P GIBBS, MD, PA
Active
Organization
MATTHEW P GIBBS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PAUL GIBBS M.D. (PRESIDENT / CEO)
(210) 543-7000
Entity
Organization
Contact information
Practice address
12415 BANDERA RD, STE 112, HELOTES, TX 78023-4265
(210) 543-7000
(210) 543-7001
Mailing address
12415 BANDERA RD, STE 112, HELOTES, TX 78023-4265
(210) 543-7000
(210) 543-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090NJ
BCBS
TX
Enumeration date
09/05/2007
Last updated
03/15/2011
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