Individual
GARY MAX GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 REDBUD BLVD, SUITE 211, MCKINNEY, TX 75069-3234
(972) 542-3364
(972) 562-9506
Mailing address
1441 REDBUD BLVD, SUITE 211, MCKINNEY, TX 75069-3234
(972) 542-3364
(972) 562-9506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E8507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092902
—
TX
05
—
100092903
—
TX
01
—
8DD348
BCBSTX
TX
Enumeration date
08/10/2006
Last updated
01/28/2013
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