Individual
GAYLE MARIE JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10900 FOUNDERS WAY STE 101, FORT WORTH, TX 76244-4953
(817) 442-9300
(817) 416-0108
Mailing address
10900 FOUNDERS WAY STE 101, FORT WORTH, TX 76244-4953
(817) 442-9300
(817) 416-0108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9075
TX
363AS0400X
Surgical Physician Assistant
Primary
PA09200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472920-04
—
TX
05
—
1472920-05
—
TX
Enumeration date
06/27/2006
Last updated
03/11/2022
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