Bobby Gibson L.P.C.

NPI 1275882201 - Counselor - 101YP2500X

NPI Details
NPI 1275882201
Gender Male
Enumeration Date 09/06/2012
Last Updated 09/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
401 EAST FRONT STREET, STE 233
TYLER TX, 75702, US
Phone (214) 876-4216
Fax
Business Location
401 EAST FRONT STREET, STE 233
TYLER TX, 75702, US
Phone (214) 876-4216
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 16171
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According to our database, Bobby Gibson L.P.C. NPI is 1275882201, taxonomy code is 101YP2500X and license number is 16171, license state is located at Texas. Bobby Gibson L.P.C. physically located at 401 East Front Street, Ste 233, Tyler TX, 75702. NPI Number Bobby Gibson L.P.C. has the Individual type.

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1275882201 NPI number is provided on an as is basis without warranty of any kind. 1275882201 is maintained by the National Plan & Provider Enumeration System. The contents of Bobby Gibson L.P.C. are for informational purposes only.