Gough, Jason Robert

Gough, Jason Robert is an individual health care provider with primary practice located at 3202 4Th St , Longview TX 75605-5217. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gough, Jason Robert can be contacted via phone (903) 753-6635.

Contact Information

Primary practice address
3202 4Th St Longview TX 75605-5217
Phone: (903) 753-6635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1148230 Texas

Profile Details

NPI number 1598983215
LBN Legal business name Gough, Jason Robert
Credentials MS PT CBIS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated May 5th, 2020 - about 5 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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