Larry Wayne Gibbons
Family Doctor - Adult Medicine
12330 Preston Road
Dallas
, Texas 75230
Larry Wayne Gibbons
Family Doctor - Adult Medicine
12330 Preston Road
Dallas
, Texas 75230
(972) 341-3225
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Larry Wayne Gibbons
- 12330 Preston Road
- Dallas, TX
- Zip : 75230
- Fax : (972) 341-3225
- Phone : (972) 341-3200
Second Address
- Larry Wayne Gibbons
- 12330 Preston Road
- Dallas, TX
- Zip : 75230
- Fax : (972) 341-3225
- Phone : (972) 341-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | E3283 | TX |
National Provider Identifier
| NPI | 1205177417 |
|---|---|
| Provider Name | Larry Wayne Gibbons |
| First Address | Dallas, TX 75230 |
| Second Address | Dallas, TX 75230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2013 |
| Last Update Date | 13/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.