Organization
TEXOMA PICC STAT
Active
Other names
LUGENIA GIBBS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BROOKING CMIS, CMOM (OFFICE MANAGER)
(940) 781-8837
Entity
Organization
Contact information
Practice address
5308 PYRENEES DR, WICHITA FALLS, TX 76310-3949
(940) 781-8837
(940) 692-4136
Mailing address
5308 PYRENEES DR, WICHITA FALLS, TX 76310-3949
(940) 781-8837
(940) 692-4136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
619031
TX
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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