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Individual

GAYLE V VOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
399 W CAMPBELL RD STE 402, RICHARDSON, TX 75080-3636
(972) 783-0947
(972) 783-0948
Mailing address
399 W CAMPBELL RD STE 402, RICHARDSON, TX 75080-3636
(972) 783-0947
(972) 783-0948

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E7309
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00AT07
BCBS
TX
05
031955001
TX
01
4019630
AETNA
TX
Enumeration date
09/14/2006
Last updated
05/11/2010
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