Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRELL LAYNE GANUS, MED, LAT, ATC
Active Sole ProprietorMR. DARRELL LAYNE GANUS, MED, LAT, ATC is a Athletic Trainer healthcare provider located in KILGORE, Texas. NPI 1417086141 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KILGORE, TX
Registration Details
- NPI Number
- 1417086141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.41370265498 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1246 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 N KILGORE STKILGORE, TX, 756625825Browse TX providers · Browse ZIP 75662
- Phone
- 9039833307
- Fax
- 9039833211
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in KILGORE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM DAVID ANDERSON JR. | MS, ATC, LAT | 1033129416 |
| KASIE BELL | — | 1275131864 |
| MS. LA TAMERA D FRY | LAT | 1700768629 |
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.