Individual
BURNEY WILLIAM GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13601 PRESTON RD, SUITE 900W, DALLAS, TX 75240-4911
(972) 233-1999
Mailing address
13601 PRESTON RD, SUITE 900W, DALLAS, TX 75240-4911
(972) 233-1999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23736
CO
207L00000X
Anesthesiology Physician
C37722
CA
207L00000X
Anesthesiology Physician
Primary
E4351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128763303
—
TX
05
—
Z000606K4
—
TX
05
—
Z000607K4
—
TX
Enumeration date
08/24/2005
Last updated
11/18/2008
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