Provider Information for 1033846415
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Mr. RICHARD JAMES GIBBONS LPC
Other Names:Professional Name:RICHARD JAMES GIBBONS LPCSex: Male
NPI: 1033846415
Last Updated: 2024-03-22
Certification Date: 2024-03-22
Certification Date: 2024-03-22
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1033846415 | ||||||||||||||||||||||||
| Enumeration Date | 2022-08-04 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 3921 W UNIVERSITY DR STE 101 DENTON, TX 76207-3220 United States Phone: 214-995-5303 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 3921 W UNIVERSITY DR STE 101 DENTON, TX 76207-3220 United States Phone: 214-995-5303 | Fax: | ||||||||||||||||||||||||
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