Varnell, Gayle Pegler
Varnell, Gayle Pegler is an sole proprietor health care provider with primary practice located at 3900 University Blvd , Tyler TX 75799-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Varnell, Gayle Pegler can be contacted via phone (903) 566-7035.Contact Information
Primary practice address
3900 University Blvd
Tyler TX 75799-0001
Phone: (903) 566-7035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 225095 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 225095 | Texas |
Profile Details
| NPI number | 1164406773 |
|---|---|
| LBN Legal business name | Varnell, Gayle Pegler |
| Credentials | PHD, RN, PNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jul 12th, 2011 - about 15 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 | 1164406773 | NPPES |
| Texas | MEDICAID | 149252202 |
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