Individual
DR. GEORGE RAYMOND GIBSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6300 LA CALMA DR STE 200, AUSTIN, TX 78752-3825
(512) 452-8533
Mailing address
2955 ELDORADO PKWY STE 100, FRISCO, TX 75033-7202
(214) 407-8668
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02003009A
IN
207P00000X
Emergency Medicine Physician
Primary
005432
AZ
207P00000X
Emergency Medicine Physician
P8586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005432
MEDICAL LICENSE
AZ
01
—
P8586
TEXAS MEDICAL BOARD
TX
Enumeration date
07/19/2006
Last updated
10/13/2025
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