Individual
GABRIELLE S TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E TRAVIS ST STE 201, MARSHALL, TX 75670-4281
(903) 702-5515
Mailing address
505 E TRAVIS ST STE 201, MARSHALL, TX 75670-4281
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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