Individual
MR. DOUG W. GIBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.,A.T.C.
Contact information
Practice address
4233 GRASSMERE LN, DALLAS, TX 75205-1040
(214) 780-3038
Mailing address
824 BROWNFIELD DR, MESQUITE, TX 75150-4361
(214) 695-3964
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0257
TX
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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