Individual
SHARON JILL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 E HIGHWAY 114, SUITE 220, TROPHY CLUB, TX 76262-5304
(972) 608-5000
(972) 608-5020
Mailing address
PO BOX 262409, PLANO, TX 75026-2409
(972) 608-5000
(972) 608-5020
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K5540T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454068-02
—
TX
Enumeration date
06/15/2006
Last updated
01/23/2013
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