Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | H4927 | TX |
NPI | 1023067923 |
---|---|
Provider Name | Dr. Mary E Gasal |
First Address | Austin, TX 78758-2401 |
Second Address | Austin, TX 78758-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123122705 | (05) | TX |