Provider Demographics
NPI:1598828824
Name:GIBBONS, RONALD OSCAR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:OSCAR
Last Name:GIBBONS
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Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:3323 N MIDLAND DR
Mailing Address - Street 2:SUITE 113-106
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4608
Mailing Address - Country:US
Mailing Address - Phone:432-558-0497
Mailing Address - Fax:432-558-0498
Practice Address - Street 1:318 N ALLEGHANEY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5052
Practice Address - Country:US
Practice Address - Phone:432-558-0497
Practice Address - Fax:432-558-0498
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2012-06-21
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Provider Licenses
StateLicense IDTaxonomies
TXN0787207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine