Individual
DAVID GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3201 UNIVERSITY DR E STE 370, BRYAN, TX 77802-3485
(979) 703-1426
(979) 709-1427
Mailing address
10592 COUNTY ROAD 175, IOLA, TX 77861-3617
(979) 229-9188
(979) 703-1426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
600960
TX
163WP0000X
Pain Management Registered Nurse
Primary
AP109201
TX
367500000X
Certified Registered Nurse Anesthetist
049819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026486-01
—
TX
Enumeration date
09/12/2006
Last updated
10/13/2024
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