Gough, Sarah E
Gough, Sarah E is an individual health care provider with primary practice located at 802 Medical Circle Suite 100, Longview TX 75605-5100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gough, Sarah E can be contacted via phone (903) 757-6042.Contact Information
Primary practice address
802 Medical Circle Suite 100
Longview TX 75605-5100
Phone: (903) 757-6042
Fax: (903) 232-8213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 714260 | Texas |
Profile Details
| NPI number | 1487089108 |
|---|---|
| LBN Legal business name | Gough, Sarah E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Sep 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487089108 | NPPES |
| Texas | MEDICAID | 325488002 |
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