Individual
SHAMARICK GASTON BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 N 6TH ST, LONGVIEW, TX 75601-6536
(903) 315-5520
(903) 663-6371
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4119
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
P7395
TX
208600000X
Surgery Physician
001013
GA
Other
Enumeration date
04/29/2008
Last updated
11/19/2014
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