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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 Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARY P ENGSTROM · (Male)

NPI Number 1336149731
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J1988
  • AR Medicaid 131935001
  • TX Medicaid 043953101
Hospital affiliation(s)
  • CHRISTUS ST MICHAEL HEALTH SYSTEM - (Acute Care)
    2600 ST MICHAEL DR
    TEXARKANA, TX 75504
  • WADLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1000 PINE STREET
    TEXARKANA, TX 75501
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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