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NPI Code Detail

MEDICARE: ROAUL MARTINIQUE GANDY LMT

MEDICARE:   ROAUL MARTINIQUE GANDY  LMT
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
1225700000XMassage TherapistMT134189TX

General Provider Information

NPI Number : 1356204150
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROAUL MARTINIQUE GANDY LMT
Provider Business Mailing Address
First Line : 5454 NEWCASTLE ST APT 1904
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2267
Country : US
Telephone Number : 979-730-9882
Fax Number : 713-960-1122
Provider Business Practice Location Address
First Line : 5454 NEWCASTLE ST APT 1904
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2267
Country : US
Telephone Number : 979-730-9882
Fax Number : 713-960-1122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ROAUL MARTINIQUE GANDY LMT” Practice Location

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