Provider Demographics
NPI:1407471709
Name:DANSBY, GAYLA (RPH)
Entity Type:Individual
Prefix:
First Name:GAYLA
Middle Name:
Last Name:DANSBY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2849 FANTAIL DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4948
Mailing Address - Country:US
Mailing Address - Phone:214-418-9549
Mailing Address - Fax:
Practice Address - Street 1:2849 FANTAIL DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4948
Practice Address - Country:US
Practice Address - Phone:214-418-9549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist