Individual
MRS. GINGER CATHERINE SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3510 FM 608, ROSCOE, TX 79545-3216
(325) 766-3913
Mailing address
PO BOX 673, ROSCOE, TX 79545-0673
(325) 766-3913
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2038487
TX
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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