Individual
GABRIEL RAYMOND NANAGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3211 PRESTON RD STE 5, FRISCO, TX 75034-9020
(469) 213-7996
Mailing address
2329 TAMARISK LN, PLANO, TX 75023-6422
(972) 596-9293
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00876586
RAILROAD MEDICARE PTAN
TX
Enumeration date
06/15/2007
Last updated
08/06/2019
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