JOHN W GIBSON

SAN ANTONIO, TX
NPI1164653390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1190)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  1190)
Enumeration Date2009-08-05
Last Update Date2014-11-24
Business Address
-- JOHN W GIBSON CPO
7271 WURZBACH RD STE 128
SAN ANTONIO, TX 78240-4718
Phone number: 210-614-5500
Mailing Address
-- JOHN W GIBSON CPO
7271 WURZBACH RD STE 128
SAN ANTONIO, TX 78240-4718
Phone number: 210-614-5500
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