Active NPI
Ray N Gibson, DO
- Family Medicine Physician
- Anson, TX
National Provider Identifier
1003063785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TXF9477
- Legal business name
- RAY N GIBSON, DO
- Practice address
- 101 Avenue J
Anson, TX 79501-2113 - Phone
- (325) 823-3231
- Fax
- (325) 823-3098
- NPI assigned
- Aug 25, 2008
- Organization subpart
- Yes
- Parent organization
- RAY N GIBSON,DO LLC STAMFORD MEDICAL CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray N Gibson, DO
- Title
- Owner
- Phone
- (325) 823-3231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TXF9477 | TX | Primary |
Addresses
Primary practice location
101 Avenue J
Anson, TX 79501-2113
Mailing address
101 Avenue J
Anson, TX 79501-2113
Phone (325) 823-3231
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113528104 | Other | TX | FIRSTCARE |
| 0046DF | Other | TX | BCBS |
| 121408 | Other | TX | SUPERIOR |
| 134935901 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Ray N Gibson DO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1003063785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AVENUE J",
"city": "ANSON",
"state": "TX",
"postal_code": "795012113",
"telephone_number": "325-823-3231",
"fax_number": "325-823-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AVENUE J",
"city": "ANSON",
"state": "TX",
"postal_code": "795012113",
"telephone_number": "325-823-3231",
"fax_number": "325-823-3098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY N GIBSON, DO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RAY N GIBSON,DO LLC STAMFORD MEDICAL CLINIC",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-823-3231",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "TXF9477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "113528104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0046DF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR",
"identifier": "121408",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134935901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.