Organization · Type 2 NPI
Gantt Medical, PLLC
Medical Physician Assistant · Corsicana, TX
NPI number
1740627512
Active
Practice location
3200 W Highway 22
Corsicana, TX 75110-2449
Fax (903) 875-2186
Mailing address
PO Box 368
Corsicana, TX 75151-0368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA07344 (TX) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1740627512
Gantt Medical, PLLC's National Provider Identifier is 1740627512, issued on Jun 3, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Corsicana, TX. The record was last updated on Sep 25, 2015.