Organization
INDIGO TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE GIBSON RN, BSN (PRINCIPAL)
(469) 714-2570
Entity
Organization
Contact information
Practice address
2601 CEDARBROOK LN, PROSPER, TX 75078-8972
(469) 714-2570
Mailing address
2601 CEDARBROOK LN, PROSPER, TX 75078-8972
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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