NPI 1558852913
Mason Gibson, AA
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
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.