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Individual

JERRY DEAN GIBSON

Active
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Individual

JERRY DEAN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G3391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050068684
RAILROAD MEDICARE
TX
05
127968902
TX
01
82175F
BC/BS
TX
Enumeration date
06/28/2006
Last updated
01/13/2016
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