Gough, Sarah E

Gough, Sarah E is an individual health care provider with primary practice located at 802 Medical Circle Suite 100, Longview TX 75605-5100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gough, Sarah E can be contacted via phone (903) 757-6042.

Contact Information

Primary practice address
802 Medical Circle Suite 100 Longview TX 75605-5100
Phone: (903) 757-6042
Fax: (903) 232-8213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 714260 Texas

Profile Details

NPI number 1487089108
LBN Legal business name Gough, Sarah E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2013
Last updated Sep 23rd, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487089108 NPPES
Texas MEDICAID 325488002

Popular Providers