MEDICARE: CAROLINE MCCORKLE GESIN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	146N00000X	Basic Emergency Medical Technician	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1740129048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE MCCORKLE GESIN

Provider Business Mailing Address
First Line	:	3537 BIG HORN TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1730
Country	:	US
Telephone Number	:	972-974-5189
Fax Number	:

Provider Business Practice Location Address
First Line	:	3537 BIG HORN TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1730
Country	:	US
Telephone Number	:	972-974-5189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	05/28/2026

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Directions to “ CAROLINE MCCORKLE GESIN ” Practice Location

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