Gibbons, Larry Wayne
Gibbons, Larry Wayne is an sole proprietor health care provider with primary practice located at 12330 Preston Road , Dallas TX 75230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Gibbons, Larry Wayne can be contacted via phone (972) 341-3200.Contact Information
Primary practice address
12330 Preston Road
Dallas TX 75230
Phone: (972) 341-3200
Fax: (972) 341-3225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | E3283 | Texas |
Profile Details
| NPI number | 1205177417 |
|---|---|
| LBN Legal business name | Gibbons, Larry Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2013 |
| Last updated | Mar 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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