Individual
MR. GARY JAMES GOSTNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W HIGHWAY 71, MARBLE FALLS, TX 78654-8606
(830) 201-7100
(830) 201-7304
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10676
TX
Other
Enumeration date
03/14/2013
Last updated
08/16/2021
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