CHAD MICHAEL GIBSON

SHREVEPORT, LA
NPI1619357209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  311424)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  R9490)
Enumeration Date2015-06-09
Last Update Date2019-04-17
Business Address
CHAD MICHAEL GIBSON MD
8001 YOUREE DR STE 4007
SHREVEPORT, LA 71115-2302
Phone number: 318-212-3821
Mailing Address
CHAD MICHAEL GIBSON MD
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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