Gnc Medical, PA

NPI #1215279146 in Plano, Texas

Provider Information

NPI Number: 1215279146
Entity Type: Organization
Organization Name: Gnc Medical, PA
Subpart: Yes (part of a larger organization)
Parent Organization: GNC MEDICAL, PA
Primary Specialty: Anesthesiology
Enumeration Date: Mar 18, 2013
Last Updated: Nov 16, 2016

Practice Location

Address: 5500 DEMOCRACY DR.
Address 2: SUITE 150
City: Plano
State: Texas
ZIP Code: 75024
Phone: (972) 494-3100

Authorized Official

Name: MR. WILLIAM D. NICHOLSON IV, M.D.
Title: PRESIDENT
Phone: (972) 494-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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