Organization Active NPI

Ray N Gibson, DO

  • Family Medicine Physician
  • Anson, TX
National Provider Identifier
1003063785
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TXF9477 Issued in TX
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 CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
113528104OtherTXFIRSTCARE
0046DFOtherTXBCBS
121408OtherTXSUPERIOR
134935901MedicaidTX

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.

Verify at the official NPI Registry.