Gibi Philip

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

230032 Issued in TX

Practice address

2117 Magic Mantle Dr
Lewisville, TX 75056-4239

Phone

(469) 767-6678

NPI assigned

Oct 19, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Gibi Tom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1043761604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MAGIC MANTLE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "469-767-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MAGIC MANTLE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564239",
            "telephone_number": "469-767-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "GIBI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "230032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIBI",
            "last_name": "TOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tony Pham, RPH
• Trinh L. Pham, NP-C
• Cindy Phan
• Pharmara Labs LLC
• Blessy Philip, O.D.
• Justin Philip, DMD
• Sindhu E Philip, DO
• Ron Philipose, FNP
• Phillip F Sehnert DDS PA
• Shauna Phillips, PTA

• Licensed Vocational Nurse in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.