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NPI Code Detail

MEDICARE: DR. GIBSON ANUGWOM MD

MEDICARE: DR. GIBSON ANUGWOM 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
12084P0800XPsychiatry PhysicianV5967TX

General Provider Information

NPI Number : 1962144337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIBSON ANUGWOM MD
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 06/19/2026

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