Individual
DR. CAROLYN JO GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1976
(214) 857-2024
Mailing address
12540 MATISSE LN, DALLAS, TX 75230-1750
(972) 980-1943
(972) 980-1943
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
F6653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6653
STATE MEDICAL LISCENCE
TX
Enumeration date
07/24/2006
Last updated
07/08/2007
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