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Organization

INTRICATE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARMAINE C GIBSON MD (OWNER)
(469) 640-6423
Entity
Organization

Contact information

Practice address
525 SHILOH RD STE 2100, PLANO, TX 75074-7264
(469) 599-2212
(469) 245-0039
Mailing address
PO BOX 942189, PLANO, TX 75094-2189

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
08/12/2022
Last updated
07/17/2023
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