Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOEL E. GANGROSS, LAT
Active Sole ProprietorJOEL E. GANGROSS, LAT is a Specialist healthcare provider located in TYLER, Texas. NPI 1407052103 is currently active in the NPPES registry. Verify at CMS.
Specialist · TYLER, TX
Registration Details
- NPI Number
- 1407052103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2007 (18.966401460017 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT2040 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3414 GOLDEN RDTYLER, TX, 757018336Browse TX providers · Browse ZIP 75701
- Phone
- 9039397500
- Fax
- 9035971245
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| DR. DANNISE BECKLEY | M.D. | 1205837424 |
| DR. JOSEPH LYNN PRUD'HOMME SR. | M.D. | 1275571861 |
| JAMES T. CLARK | M.D. | 1073665964 |
| DR. LAURA JENNIFER HAYGOOD | M.D. | 1609083203 |
| DANIEL W FULLER | ATC. LAT. | 1750586509 |
| MRS. MARISSA BORROMEO | PT | 1457587248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.