Individual
MR. STEPHEN ERIK GANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 ORCHARD DR, STE B, ARLINGTON, TX 76012-2519
(817) 860-3191
(817) 860-0816
Mailing address
1100 ORCHARD DR, STE B, ARLINGTON, TX 76012-2519
(817) 860-3191
(817) 860-0816
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E7936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000KK601
—
TX
Enumeration date
07/29/2005
Last updated
07/08/2007
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