Individual provider · Type 1 NPI

Ashton Mary Gully, PA-C

Physician Assistant · Bryan, TX

NPI number 1366248445 Active

Practice location

2206 E Villa Maria Rd
Bryan, TX 77802-2547

Call (979) 776-4600 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA18665 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366248445

Ashton Mary Gully, PA-C's National Provider Identifier is 1366248445, issued on Feb 20, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bryan, TX. The record was last updated on Sep 9, 2025.