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NPI Profile for GMC MEDICAL PLLC in SOUTHLAKE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1073968392 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/25/2016 | |
| Last updated | 04/30/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GMC MEDICAL, PLLC
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GMC MEDICAL, PLLC