Healthcare Provider Details

I. General information

NPI: 1912813981
Provider Name (Legal Business Name): AUGUST GALLAGHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W TUTT ST
HOWE TX
75459-4702
US

IV. Provider business mailing address

105 W TUTT ST
HOWE TX
75459-4702
US

V. Phone/Fax

Practice location:
  • Phone: 903-745-4107
  • Fax: 903-745-4101
Mailing address:
  • Phone: 903-745-4107
  • Fax: 903-745-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1124286
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: