Individual
DR. GAYLE PEGLER VARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, PNP
Contact information
Practice address
3900 UNIVERSITY BLVD, TYLER, TX 75799-0001
(903) 566-7035
Mailing address
19970 HOLLY HILLS DR, LARUE, TX 75770-6306
(903) 849-2329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
225095
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
225095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149252202
—
TX
Enumeration date
12/06/2005
Last updated
07/12/2011
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