Individual
DR. DONALD E GIBBONS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W MAIN ST, EMERGENCY DEPARTMENT, LEWISVILLE, TX 75057-3629
(972) 420-1000
Mailing address
758 N LARRABEE ST, APT. 514, CHICAGO, IL 60610-6445
(773) 710-1654
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
336077005
IL
207P00000X
Emergency Medicine Physician
Primary
M4791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183312101
—
TX
05
—
183312102
—
TX
01
—
8W0733
BCBS
TX
01
—
P00364135
RAILROAD
TX
Enumeration date
07/06/2006
Last updated
08/10/2011
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