Gina Paris
Individual provider Active NPI Pharmacist · Springtown, TX
NPI 1154968071 · NPPES record last updated Dec 10, 2019
Key facts
- NPI
- 1154968071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 33255 (TX)
- Practice address
- 501 E Highway 199
Springtown, TX 76082-2755 - Phone
- (817) 220-1178
- Fax
- (866) 547-6689
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11123 | OK | MD | Pharmacist |
| 33255 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11123 | OK | |
| Pharmacist |
183500000X | 33255 | TX | Yes |
Addresses
Primary practice location
501 E Highway 199
Springtown, TX 76082-2755
Mailing address
PO Box 29
Azle, TX 76098-0029
Phone (817) 239-6892
Other providers in Springtown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.