MR. Gilbert Tyler Wasserman SR., ATP

NPI #1013202407 in Irving, Texas

Provider Information

NPI Number: 1013202407
Entity Type: Individual
Name: MR. Gilbert Tyler Wasserman SR., ATP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: ATP
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 2930 SKYWAY CIR N
City: Irving
State: Texas
ZIP Code: 75038-3509
Phone: (972) 358-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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