Provider Demographics
NPI:1235355488
Name:GIBBS, AUBREY CLARK (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:CLARK
Last Name:GIBBS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3150 CLARKSVILLE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-8076
Mailing Address - Country:US
Mailing Address - Phone:903-782-9206
Mailing Address - Fax:903-783-7367
Practice Address - Street 1:3150 CLARKSVILLE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-8076
Practice Address - Country:US
Practice Address - Phone:903-782-9206
Practice Address - Fax:903-783-7367
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2011-09-21
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Provider Licenses
StateLicense IDTaxonomies
TXN9553208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN9553OtherTEXAS STATE LICENSE