Texoma Picc Stat

Primary specialty

SpecialistTaxonomy code 174400000X

License

619031 Issued in TX

Legal business name

TEXOMA PICC STAT

Doing business as

Lugenia Gibbs

Practice address

5308 Pyrenees Dr
Wichita Falls, TX 76310-3949

Phone

(940) 781-8837

Fax

(940) 692-4136

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Brooking, CMIS, CMOM

Title

Office Manager

Phone

(940) 781-8837

Specialties & licenses 1

Addresses

Other names 1

• LUGENIA GIBBS Doing business as

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.

• Lugenia Gibbs, R.N.

  • Specialist
  • Wichita Falls, TX
  • NPI 1124067897
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821043225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 PYRENEES DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103949",
            "telephone_number": "940-781-8837",
            "fax_number": "940-692-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 PYRENEES DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103949",
            "telephone_number": "940-781-8837",
            "fax_number": "940-692-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA PICC STAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-781-8837",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMIS, CMOM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "619031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUGENIA GIBBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texoma Medical Center Joint Venture
• Texoma Mental Health Associates Inc
• Texoma Mobile Physical Therapy LLC
• Texoma Outpatient Surgery Center, Inc.
• Texoma Outpatient Surgery Center, Inc.
• Texoma Plastic Surgery, P.a.
• Texoma Primary Care Clinic
• Texoma Rehab PLLC
• Texoma Rheumatology PLLC
• Texoma Specialty Care

• Specialist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.