Blue, Shamarick Gaston
Blue, Shamarick Gaston is an individual health care provider with primary practice located at 409 N 6Th St , Longview TX 75601-6536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Blue, Shamarick Gaston can be contacted via phone (903) 315-5520.Contact Information
Primary practice address
409 N 6Th St
Longview TX 75601-6536
Phone: (903) 315-5520
Fax: (903) 663-6371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 001013 | Georgia |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | P7395 | Texas |
Profile Details
| NPI number | 1255506341 |
|---|---|
| LBN Legal business name | Blue, Shamarick Gaston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Nov 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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