Fashimpar, Gary Allen

Fashimpar, Gary Allen is an sole proprietor health care provider with primary practice located at 4111 Call Field Dr Suite 400, Wichita Falls TX 76308. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fashimpar, Gary Allen can be contacted via phone (940) 631-1781.

Contact Information

Primary practice address
4111 Call Field Dr Suite 400 Wichita Falls TX 76308
Phone: (940) 631-1781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 281 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1615 Texas

Profile Details

NPI number 1528138617
LBN Legal business name Fashimpar, Gary Allen
Credentials PHD, LCSW,LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jan 30th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528138617 NPPES
Texas MEDICAID 064009601

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