Individual
MRS. ACRYSTA DEANNE GONGORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(903) 532-1400
Mailing address
2304 AVENUE U, LUBBOCK, TX 79411-1122
(806) 445-8982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
990684
TX
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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