National Provider Identifier Database

GARY P ENGSTROM, MD – NPI #1336149731
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

GARY P ENGSTROM, MD
5002 COWHORN CREEK RD
TEXARKANA, TX75503-9766
Phone: 903-614-3000
Fax: 903-614-3525
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Internal Medicine 207R00000X
Medical Oncology 207RX0202X

* Indicates primary specialty

NPI Profile & details for GARY P ENGSTROM

NPI Number 1336149731
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 04/24/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • TX License #: J1988
  • AR Medicaid: 131935001
  • TX Medicaid: 043953101
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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