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Michael Gibson
NPI 1922393255 · on the registry since 2011 · sole proprietor
Practice
- Address
- 203 S Main St
Mansfield, TX 76063 - Phone
- (817) 453-8520
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas