Provider Demographics
NPI:1043910482
Name:GIPSON, APRIL (BS, MS)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:GIPSON
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62315
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77205-2315
Mailing Address - Country:US
Mailing Address - Phone:346-423-8447
Mailing Address - Fax:
Practice Address - Street 1:25435 NORTHPARK LAKE DR
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-7441
Practice Address - Country:US
Practice Address - Phone:346-423-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver