Individual
JOHN W GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
7271 WURZBACH RD STE 128, SAN ANTONIO, TX 78240-4718
(210) 614-5500
(210) 614-5551
Mailing address
7271 WURZBACH RD STE 128, SAN ANTONIO, TX 78240-4718
(210) 614-5500
(210) 614-5551
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1190
TX
224P00000X
Prosthetist
Primary
1190
TX
Other
Enumeration date
08/05/2009
Last updated
11/24/2014
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