GANTT MEDICAL, PLLC
Medical Practice in Corsicana, TX

License number
Texas PA07344
Category
Nursing
Type
Medical
Owner
Name: MARTI M GANTT PA-C
Title: OWNER
Phone: (903) 875-2188
Address
Address
3200 Hwy W, Corsicana, TX 75110
National Provider ID: 1740627512
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GANTT MEDICAL PLLC

1101 Pin Oak Ln, Corsicana, TX 75110

Registration:
May 3, 2013
State ID:
0801778822
Business type:
Domestic Limited Liability Company (LLC)
Managing M, Managing Member:
Marti Gantt (Managing M, Managing Member), 1101 Pin Oak Ln, Corsicana, TX 75110
TIN:
32050894305

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