Individual
DR. GRANT WILLIAM GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8220 LOUETTA RD, STE 112, SPRING, TX 77379-7029
(281) 370-2020
(281) 251-2705
Mailing address
8220 LOUETTA RD, STE 112, SPRING, TX 77379-7029
(281) 370-2020
(281) 251-2705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6396TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548252216
NPI
TX
01
—
1720201916
GROUP NPI
TX
Enumeration date
08/18/2005
Last updated
03/31/2008
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