Individual
SARAH L. GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1313 VETERANS AVENUE, SUITE C, CRYSTAL CITY, TX 78839-3724
(830) 374-4436
(830) 374-4437
Mailing address
403 S. 7TH STREET, CARRIZO SPRINGS, TX 78834-4204
(830) 876-9870
(830) 876-3661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
578107
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP115374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198469204
—
TX
Enumeration date
09/23/2008
Last updated
01/31/2020
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