Jay B Gibson, PA-C

NPI #1457650996 in Odessa, Texas

Provider Information

NPI Number: 1457650996
Entity Type: Individual
Name: Jay B Gibson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 23, 2011
Last Updated: Feb 18, 2016

Practice Location

Address: 3051 E UNIVERSITY BLVD
City: Odessa
State: Texas
ZIP Code: 79762-7902
Phone: (432) 362-4376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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