Womack, Gary L

Womack, Gary L is an individual health care provider with primary practice located at 1327 Troup Hwy , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Womack, Gary L can be contacted via phone (903) 606-4733.

Contact Information

Primary practice address
1327 Troup Hwy Tyler TX 75701
Phone: (903) 606-4733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E9467 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X N5777 Arkansas

Profile Details

NPI number 1225038565
LBN Legal business name Womack, Gary L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 11th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225038565 NPPES
Texas MEDICAID 135498709
Texas MEDICAID 123703001
Texas MEDICAID 135498706
Texas Other 820733
Texas Other 8LE706

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