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NPI Code Detail

MEDICARE: DR. STEVEN JAMES GIBSON MD

MEDICARE:  DR. STEVEN JAMES GIBSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101274677VA

General Provider Information

NPI Number : 1265067250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN JAMES GIBSON MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4808
Fax Number : 210-916-3366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2020
Last Update Date : 04/02/2026

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Directions to “ DR. STEVEN JAMES GIBSON MD” Practice Location

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