Individual
MR. ASHOK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 E FRONT ST STE A, TYLER, TX 75702-8511
(903) 609-1609
Mailing address
1918 E FRONT ST, TYLER, TX 75702-8511
(903) 609-1609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4303
NM
Other
Enumeration date
05/21/2013
Last updated
09/22/2020
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