| Lori I Gagnon Md Pa | |
|
260 Cully Dr Kerrville TX 78028-5950 | |
| (830) 258-7383 | |
| (830) 258-7055 |
| Full Name | Lori I Gagnon Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 260 Cully Dr, Kerrville, Texas |
| Authorized Official Name and Position | Lori I Gagnon (OWNER) |
| Authorized Official Contact | 8302587185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori I Gagnon Md Pa 260 Cully Dr Kerrville TX 78028-5950 Ph: (830) 258-7383 | Lori I Gagnon Md Pa 260 Cully Dr Kerrville TX 78028-5950 Ph: (830) 258-7383 |
| NPI Number | 1396856670 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396856670 | NPI | - | NPPES |
| 0039NX | Other | BC GRP | |
| DF5642 | Other | RAILROAD MCR GRP | |
| 184196701 | Other | MCD INDV | |
| 184195901 | Medicaid | TX | |
| P00375637 | Other | RAILROAD INDV | |
| 8W5070 | Other | BC INDV | |
| 8F4161 | Other | TX | MCR INDV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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