Davis, Susan Elaine Gandy

Davis, Susan Elaine Gandy is an individual health care provider with primary practice located at 4005 Lamar Avenue , Paris TX 75462. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Davis, Susan Elaine Gandy can be contacted via phone (903) 785-3861.

Contact Information

Primary practice address
4005 Lamar Avenue Paris TX 75462
Phone: (903) 785-3861
Fax: (903) 739-8768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1032613 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 1032613 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 1032613 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1032613 Texas

Profile Details

NPI number 1699715367
LBN Legal business name Davis, Susan Elaine Gandy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699715367 NPPES
Other 120492 SUPERIOR PROVIDER NUMBER
Other 80811T SUPERIOR PROVIDER NUMBER
MEDICAID 100672030B SUPERIOR PROVIDER NUMBER
MEDICAID 058541601 SUPERIOR PROVIDER NUMBER
Other 7032430 SUPERIOR PROVIDER NUMBER

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