Dr Jeremy L Gibson, MD | |
4150 Crosspoint Blvd, Edinburg, TX 78539-1803 | |
(956) 296-1960 | |
(956) 296-2855 |
Full Name | Dr Jeremy L Gibson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4150 Crosspoint Blvd, Edinburg, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003876798 | NPI | - | NPPES |
370019198 | Other | TX | RR/MEDICARE |
1446577-01 | Medicaid | TX | |
1446577-02 | Other | TX | CSHCN |
8B4705 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K9540 (Texas) | Primary |
Entity Name | Texas A&m University System Health Science Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063699312 PECOS PAC ID: 8224008644 Enrollment ID: O20040802001578 |
Entity Name | University Of Texas Rio Grande Valley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477960730 PECOS PAC ID: 3577885276 Enrollment ID: O20141209000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy L Gibson, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Dr Jeremy L Gibson, MD 4150 Crosspoint Blvd, Edinburg, TX 78539-1803 Ph: (956) 296-1960 |
Muhammad Amar Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5506 S Jackson Rd, Edinburg, TX 78539 Phone: 956-661-0066 Fax: 956-661-0071 | |
Dr. Mahwish Nasir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 Fax: 956-362-7253 | |
Dr. Roberto A Ayres, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2821 Michaelangelo Dr Ste 303, Edinburg, TX 78539 Phone: 956-362-8275 Fax: 956-362-8281 | |
Corazon Gladys White Ajero, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 316 Conquest Blvd, Suite 300, Edinburg, TX 78539 Phone: 956-383-7779 Fax: 956-383-3315 | |
William John Norberg Jr., M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 W Trenton Rd, Picu Intensivist, Edinburg, TX 78539 Phone: 956-388-6000 | |
Dr. Martin Garza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3521 W Freddy Gonzalez Dr, Suite B, Edinburg, TX 78539 Phone: 956-287-2100 Fax: 956-287-2111 |