Gaston, Carolyn Jo

Gaston, Carolyn Jo is an individual health care provider with primary practice located at 4500 S Lancaster Rd , Dallas TX 75216-7167. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Gaston, Carolyn Jo can be contacted via phone (214) 857-1976.

Contact Information

Primary practice address
4500 S Lancaster Rd Dallas TX 75216-7167
Phone: (214) 857-1976
Fax: (214) 857-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X F6653 Texas

Profile Details

NPI number 1891717187
LBN Legal business name Gaston, Carolyn Jo
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891717187 NPPES
Texas Other F6653 STATE MEDICAL LISCENCE

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