Individual
IRASEMA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 NE 13TH ST # 1C, OKLAHOMA CITY, OK 73104-5040
(405) 271-8001
Mailing address
1000 NE 13TH ST, OKLAHOMA CITY, OK 73104-5040
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4842
OK
363A00000X
Physician Assistant
PA06244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297309101
—
TX
Enumeration date
07/22/2009
Last updated
02/16/2023
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