Individual
MARC EDWARD GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
425 UNIVERSITY BLVD, STE. 345, ROUND ROCK, TX 78665-1053
(512) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(512) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091496
TX
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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