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Gibsonwilliamsgroupllc

Private Vehicle in Dallas, TX. Organization (NPI-2).

NPI number1346620135
StatusActive
Last updated in NPPESJun 5, 2015

Details

NPI
1346620135
Entity type
Organization (NPI-2)
Legal business name
Gibsonwilliamsgroupllc
Organization subpart
No
Enumeration date
Jun 5, 2015
Last updated
Jun 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehicle––Yes

Practice location

6928 Petty Ln
Dallas, TX 75217-1290

Phone 214-290-6635

Mailing address

6928 Petty Ln
Dallas, TX 75217-1290

Phone 214-290-6635

Authorized official

Lamont Bernard Gibson
Chairman
2142906635

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