| Doctor Name: | GAY ANN TIBBETS |
| NPI Number: | 1003097155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 518287 |
| Business Practice Address: | 1902 50th St Lubbock, TX - 794122706 |
| Business Phone Number: | 8067711386 |
| Business Fax Number: | 8067711388 |
| Mailing Address: | Po Box 54136, LUBBOCK |
| State: | TX |
| Postal Code: | 794534136 |
| Phone Number: | 8067711386 |
| Fax Number: | 8067711388 |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 518287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |