Mrs Amanda Christianne Gibson, DC | |
1107 Church St, Bastrop, TX 78602-3206 | |
(800) 404-6050 | |
(866) 313-3397 |
Full Name | Mrs Amanda Christianne Gibson |
---|---|
Gender | Female |
Speciality | Chiropractor - Rehabilitation |
Location | 1107 Church St, Bastrop, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992074090 | NPI | - | NPPES |
11927 | Other | TX | CHIROPRACTIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 11927 (Texas) | Primary |
Provider Name | Airrosti Rehab Centers, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497989479 PECOS PAC ID: 3678814498 Enrollment ID: O20190725000429 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Christianne Gibson, DC Po Box 700688, San Antonio, TX 78270-0688 Ph: (800) 404-6050 | Mrs Amanda Christianne Gibson, DC 1107 Church St, Bastrop, TX 78602-3206 Ph: (800) 404-6050 |
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