Individual
DR. CHARLES ROBERT GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 E MEDICAL CENTER BLVD, SUITE 101, WEBSTER, TX 77598-4326
(281) 488-7213
(281) 480-1623
Mailing address
555 E MEDICAL CENTER BLVD, SUITE 101, WEBSTER, TX 77598-4326
(281) 488-7213
(281) 488-1387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04082TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124557301
—
TX
Enumeration date
06/08/2005
Last updated
10/25/2022
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