Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Chase Joseph Gibson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174157101

Mr. Chase Joseph Gibson is a Student in an Organized Health Care Education/Training Program in San Marcos, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

616 N Lbj Dr Beretta Hall 401
San Marcos, TX 78666
Phone: (979) 820-1744
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Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174157101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020
Mailing address616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666

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