Whalio Doctors

NPI 1558852913

Mason Gibson, AA

Practitioner Anesthesiologist Assistant Lubbock, TX

Practice location

Address
2412 50th St, Lubbock, TX 79412
Phone
(806) 744-7223
Fax
(806) 740-3325
Mailing address
PO Box 840853, Dallas, TX 75284-0853

Registered specialties

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 24570605 (TX)

Registry record

NPI
1558852913
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2018
Record last updated
30 Aug 2018

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.