Individual
DR. ALLEN ELVIN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-5846
(432) 685-1111
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 221-5971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189374504
—
TX
01
—
P00429112
RAILROAD MCARE
TX
Enumeration date
12/12/2006
Last updated
07/26/2022
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