Gano, Stephen Erik
Gano, Stephen Erik is an individual health care provider with primary practice located at 1100 Orchard Dr Ste B, Arlington TX 76012-2519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gano, Stephen Erik can be contacted via phone (817) 860-3191.Contact Information
Primary practice address
1100 Orchard Dr Ste B
Arlington TX 76012-2519
Phone: (817) 860-3191
Fax: (817) 860-0816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E7936 | Texas |
Profile Details
| NPI number | 1962402040 |
|---|---|
| LBN Legal business name | Gano, Stephen Erik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1962402040 | NPPES |
| Texas | MEDICAID | P000KK601 |
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