MISS Gail Tyria Houston, PA-C
NPI #1316929888 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1316929888
- Entity Type
- Individual
- Name
- MISS Gail Tyria Houston, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 210 GRANT AVE
- Address 2
- ROOM 1809
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-1231
- Phone
- (913) 758-3791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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