Organization
GIBSON & HARSHAW, LLC
Active
Other names
AssistCare
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY LYNN GIBSON (OWNER)
(903) 657-4413
Entity
Organization
Contact information
Practice address
100 ZEID BLVD, SUITE B, HENDERSON, TX 75652-6069
(903) 657-4413
(903) 655-0225
Mailing address
100 ZEID BLVD, SUITE B, HENDERSON, TX 75652-6069
(903) 657-4413
(903) 655-0225
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
006761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006761
STATE LICENSE NUMBER
TX
05
—
024320601
—
TX
01
—
HH9277
BCBS PROVIDER NUMBER
TX
Enumeration date
09/29/2005
Last updated
11/08/2011
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