Individual
GAIL HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3514 21ST ST, LUBBOCK, TX 79410-1210
(806) 725-1801
(806) 723-7535
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118678100
FIRSTCARE
TX
Enumeration date
07/26/2006
Last updated
03/05/2013
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