Individual
DR. CANDACE L GIBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9063
(214) 456-6333
(214) 456-6154
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9063
(214) 456-6333
(214) 456-6154
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
MD071808L
PA
2080P0202X
Pediatric Cardiology Physician
Primary
N3669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018146860012
—
PA
05
—
0018146860013
—
PA
01
—
MD071808L
MEDICAL LICENSE NUMBER
PA
01
—
N3669
MEDICAL LICENSE NUMBER
TX
Enumeration date
03/24/2006
Last updated
10/04/2011
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