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Individual

GIFTSON JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-4656
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008863
GA
363A00000X
Physician Assistant
Primary
PA12148
TX

Other

Enumeration date
08/09/2018
Last updated
03/15/2022
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