Larry Christopher Gough, PTA
NPI #1598247298 in Waxahachie, Texas
Provider Information
- NPI Number
- 1598247298
- Entity Type
- Individual
- Name
- Larry Christopher Gough, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- PTA
- Enumeration Date
- Aug 30, 2018
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 3650 S INTERSTATE 35 E
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165
- Phone
- (972) 937-7320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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Organizations
| Provider Name | |
|---|---|
| Healthtexas Provider Network - Physiatric Medicine Associates | |
| Healthtexas Provider Network-Physiatric Medicine Associates |
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