Individual
MRS. MARY MELISSA GIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, A-GNP-C
Contact information
Practice address
14340 MEMORIAL DR STE 300, HOUSTON, TX 77079-1315
(832) 758-1979
Mailing address
14340 MEMORIAL DR STE 300, HOUSTON, TX 77079-1315
(832) 758-1979
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG10230017
TX
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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