Individual provider · Type 1 NPI

Joel E. Gangross, LAT

Specialist · Tyler, TX

NPI number 1407052103 Active

Practice location

3414 Golden Rd
Tyler, TX 75701-8336

Fax (903) 597-1245

Mailing address

12002 County Road 4401
Larue, TX 75770-6101

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT2040 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407052103

Joel E. Gangross, LAT's National Provider Identifier is 1407052103, issued on Jun 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on Jul 8, 2007.