Individual
ASHLEY NICOLE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
220 N RIDGEWAY DR, CLEBURNE, TX 76033-4115
(817) 556-4800
(817) 774-5015
Mailing address
220 N RIDGEWAY DR, CLEBURNE, TX 76033-4115
(817) 556-4800
(817) 774-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07896
TX
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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