NPI 1164653390

John W Gibson, CPO

Practitioner Prosthetist San Antonio, TX

Practice location

Address: 7271 Wurzbach Rd STE 128, San Antonio, TX 78240-4718
Phone: (210) 614-5500
Fax: (210) 614-5551

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1190 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1190 (TX)

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Registry record

NPI: 1164653390
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2009
Record last updated: 24 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.