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NPI Code Detail

MEDICARE: LATAUSHA TOMEKA GASKIN PA-C

MEDICARE: LATAUSHA TOMEKA GASKIN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA08117TX
2363A00000XPhysician AssistantPA200580LA

General Provider Information

NPI Number : 1679824510
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATAUSHA TOMEKA GASKIN PA-C
Provider Business Mailing Address
First Line : PO BOX 1326
Second Line :
City : MARSHALL
State : TX
Zip : 75671-1326
Country : US
Telephone Number : 903-927-6140
Fax Number : 903-927-6117
Provider Business Practice Location Address
First Line : 805 LINDSEY DR
Second Line :
City : MARSHALL
State : TX
Zip : 75670-5271
Country : US
Telephone Number : 903-927-6140
Fax Number : 903-927-6117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2012
Last Update Date : 07/07/2022

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Directions to “ LATAUSHA TOMEKA GASKIN PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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