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NPI Code Detail

MEDICARE: MARK GIBEL PT, DPT

MEDICARE:   MARK  GIBEL  PT, DPT
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
1225100000XPhysical Therapist1408008TX

General Provider Information

NPI Number : 1275488330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK GIBEL PT, DPT
Provider Business Mailing Address
First Line : 701 WILLOW CREEK DR
Second Line :
City : WOODWAY
State : TX
Zip : 76712-3570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WINDHAVEN PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-8197
Country : US
Telephone Number : 972-473-8980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ MARK GIBEL PT, DPT” Practice Location

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