Individual
GIBI PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2117 MAGIC MANTLE DR, LEWISVILLE, TX 75056-4239
(469) 767-6678
Mailing address
2117 MAGIC MANTLE DR, LEWISVILLE, TX 75056
(469) 767-6678
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230032
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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