Individual
DR. GARY ROY MENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 AERO DR, SUITE 1, PORT ARTHUR, TX 77640-1518
(409) 727-4642
(409) 721-9774
Mailing address
2770 AERO DR, SUITE 1, PORT ARTHUR, TX 77640-1518
(409) 727-4642
(409) 721-9774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9128
TX
Other
Enumeration date
08/10/2005
Last updated
05/22/2008
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