Gibson, George Raymond
Gibson, George Raymond is an individual health care provider with primary practice located at 6300 La Calma Dr Ste 200 , Austin TX 78752-3825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gibson, George Raymond can be contacted via phone (512) 452-8533.Contact Information
Primary practice address
6300 La Calma Dr Ste 200
Austin TX 78752-3825
Phone: (512) 452-8533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 02003009A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 005432 | Arizona |
Profile Details
| NPI number | 1194745885 |
|---|---|
| LBN Legal business name | Gibson, George Raymond |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | May 11th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194745885 | NPPES |
| Texas | Other | P8586 | TEXAS MEDICAL BOARD |
| Texas | Other | 005432 | TEXAS MEDICAL BOARD |
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