Individual provider · Type 1 NPI

Marti M. Gantt, PA-C

Medical Physician Assistant · Corsicana, TX

NPI number 1992093579 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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA07344 (TX)

Medical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1992093579

Marti M. Gantt, PA-C's National Provider Identifier is 1992093579, issued on Jul 15, 2011. 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, 2018.