Individual
WENDY MCGINTY-GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809
Mailing address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345422501
—
TX
Enumeration date
12/29/2009
Last updated
10/14/2016
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