Individual
DR. BRYAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2132 50TH ST, LUBBOCK, TX 79412-2603
(806) 747-1635
Mailing address
2132 50TH ST, LUBBOCK, TX 79412-2603
(806) 747-1635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7801T
TX
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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