Organization Active NPI

Donald Gibson II MD PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1073892352
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H5209 Issued in TX
Legal business name
DONALD GIBSON II MD PA
Practice address
6833 W Sam Houston Pkwy S
Suite #107
Houston, TX 77072-5248
Phone
(713) 936-1308
Fax
(713) 936-1307
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Mrs. Dee Riascos
Title
Billing Manager
Phone
(832) 248-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H5209 TX Primary

Addresses

Primary practice location

6833 W Sam Houston Pkwy S
Suite #107
Houston, TX 77072-5248

Mailing address

6307 Hidden Crest Way
Sugar Land, TX 77479-5583
Phone (832) 721-8015

National Provider Directory

National Provider Directory

Locations

6833 W Sam Houston Pkwy S
Ste 107
Houston, TX 77072
Phone (713) 936-1308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1073892352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 HIDDEN CREST WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795583",
            "telephone_number": "832-721-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 W SAM HOUSTON PKWY S",
            "address_2": "SUITE #107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725248",
            "telephone_number": "713-936-1308",
            "fax_number": "713-936-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD GIBSON II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "RIASCOS",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "832-248-1994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.