Individual
ERIC GASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S 3RD ST STE C, MABANK, TX 75147-7512
(903) 880-5026
Mailing address
12757 STATE HIGHWAY 198, MABANK, TX 75156-5425
(903) 880-5026
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
019151
TX
Other
Enumeration date
01/18/2019
Last updated
07/23/2020
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