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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA07344 (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.