Gibson, Jerry Dean
Gibson, Jerry Dean is an individual health care provider with primary practice located at 4000 Spencer Hwy , Pasadena TX 77504-1202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gibson, Jerry Dean can be contacted via phone (713) 359-2000.Contact Information
Primary practice address
4000 Spencer Hwy
Pasadena TX 77504-1202
Phone: (713) 359-2000
Fax: (713) 359-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G3391 | Texas |
Profile Details
| NPI number | 1962430181 |
|---|---|
| LBN Legal business name | Gibson, Jerry Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jan 13th, 2016 - about 10 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 | 1962430181 | NPPES |
| Texas | Other | 82175F | BC/BS |
| Texas | Other | 050068684 | BC/BS |
| Texas | MEDICAID | 127968902 | BC/BS |
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