Individual
CHARMAINE C GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 400, RICHARDSON, TX 75082-4278
(972) 231-9144
(972) 231-9174
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY STE 400, RICHARDSON, TX 75082-4278
(972) 231-9144
(972) 231-9174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD449331
PA
207V00000X
Obstetrics & Gynecology Physician
ME123543
FL
207V00000X
Obstetrics & Gynecology Physician
MT195157
PA
207VX0000X
Obstetrics Physician
Primary
Q6142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392498701
—
TX
Enumeration date
07/30/2009
Last updated
02/28/2020
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