Engstrom, Gary P
Engstrom, Gary P is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Engstrom, Gary P can be contacted via phone (903) 614-3000.Contact Information
Primary practice address
5002 Cowhorn Creek Rd
Texarkana TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J1988 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | J1988 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | J1988 | Texas |
Profile Details
| NPI number | 1336149731 |
|---|---|
| LBN Legal business name | Engstrom, Gary P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Apr 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336149731 | NPPES |
| Texas | MEDICAID | 043953101 | |
| Texas | MEDICAID | 131935001 |
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