Individual
MR. ANDREW GATABAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11398 CEDAR SPRINGS DR, FRISCO, TX 75035-9130
(469) 585-4372
Mailing address
4423 LARTAN TRL, RICHARDSON, TX 75082-2643
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227833
TX
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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