Individual
GARY HASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 MARKET CENTER BLVD STE 425, DALLAS, TX 75207-3347
(214) 797-1670
Mailing address
1825 MARKET CENTER BLVD STE 425, DALLAS, TX 75207-3347
(214) 797-1670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
08304503
TX
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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