Individual
MR. DICKIE LEE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5301 UNIVERSITY AVE, LUBBOCK, TX 79413-4940
(806) 793-5947
(806) 793-4544
Mailing address
5301 UNIVERSITY AVE, LUBBOCK, TX 79413-4940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1135275
TX
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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