Individual
GARY MISHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N., O.P.A.C.
Contact information
Practice address
10333 KUYKENDAHL, SUITE D, THE WOODLANDS, TX 77382
(281) 362-7700
(281) 367-1323
Mailing address
7401 S. MAIN, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000928
TX
Other
Enumeration date
10/27/2005
Last updated
08/10/2012
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