Individual
LINDA ALICIA GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
1822 W BRAKER LN # 81603, AUSTIN, TX 78758-3606
(512) 973-9222
Mailing address
1822 W BRAKER LN # 81603, AUSTIN, TX 78758-3606
(512) 973-9222
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00682
TX
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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