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General NPI Number Information
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NPI Number | 1073892352
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Entity Type | Organization
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Legal Business Name | DONALD GIBSON II MD PA
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 6833 W SAM HOUSTON PKWY S SUITE #107
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City | HOUSTON
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State | TX
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Zip | 77072-5248
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Country | US
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Telephone | 713-936-1308
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Fax | 713-936-1307
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Provider Business Mailing Address
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Address Line | 6307 HIDDEN CREST WAY
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City | SUGAR LAND
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State | TX
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Zip | 77479-5583
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Country | US
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Telephone | 832-721-8015
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. DEE RIASCOS
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Credential |
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Telephone | 832-248-1994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H5209
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License Number State | TX
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