Organization
GAYLE V VOTH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE V VOTH MD (PRESIDENT)
(972) 783-0947
Entity
Organization
Contact information
Practice address
399 WEST CAMPBELL, SUITE 402, RICHARDSON, TX 75080-3636
(972) 783-0947
(972) 783-0948
Mailing address
399 WEST CAMPBELL, SUITE 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
TX
05
—
031955001
—
TX
01
—
4019630
AETNA
TX
Enumeration date
09/16/2006
Last updated
05/11/2010
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