Individual provider Active NPI

Gayle Stan

  • Contractor
  • Oak Ridge North, TX
National Provider Identifier
1932454766
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
729073 Issued in TX
Practice address
27327 Robinson Rd Ste 1
Oak Ridge North, TX 77385-8971
Phone
(281) 782-1555
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 729073 TX Primary

Addresses

Primary practice location

27327 Robinson Rd Ste 1
Oak Ridge North, TX 77385-8971

Mailing address

27327 Robinson Road Ste 1
Oak Ridge North, TX 77385
Phone (281) 782-1555

Other names 1

  • Gayla Wigs Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
729073TXMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1932454766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27327 ROBINSON ROAD STE 1",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "77385",
            "telephone_number": "281-782-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27327 ROBINSON RD STE 1",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773858971",
            "telephone_number": "281-782-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAN",
        "first_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "729073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLA",
            "last_name": "WIGS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Ridge North, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.