Individual
JAMES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1840
(512) 628-1841
Mailing address
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723-3078
(512) 628-1840
(512) 628-1841
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
M7211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172532704
—
TX
05
—
172532706
—
TX
Enumeration date
08/15/2006
Last updated
01/10/2012
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