Jasinski, Gayle Marie

Jasinski, Gayle Marie is an individual health care provider with primary practice located at 10900 Founders Way Ste 101 , Fort Worth TX 76244-4953. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Jasinski, Gayle Marie can be contacted via phone (817) 442-9300.

Contact Information

Primary practice address
10900 Founders Way Ste 101 Fort Worth TX 76244-4953
Fax: (817) 416-0108
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 9075 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA09200 Texas

Profile Details

NPI number 1568499135
LBN Legal business name Jasinski, Gayle Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 11th, 2022 - about 2 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 1568499135 NPPES
Texas MEDICAID 1472920-04
Texas MEDICAID 1472920-05

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