Individual
DR. MICAH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 HOSPITAL DR STE 300, BEAUMONT, TX 77701-4666
(409) 212-8111
(409) 981-1787
Mailing address
740 HOSPITAL DR STE 300, BEAUMONT, TX 77701-4666
(409) 212-8111
(409) 981-1787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T8542
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
08/03/2022
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