Provider Demographics
NPI:1437365558
Name:PAMPLIN, GARY NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:NEIL
Last Name:PAMPLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3571 FAR WEST BLVD
Mailing Address - Street 2:# 258
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3064
Mailing Address - Country:US
Mailing Address - Phone:512-459-4249
Mailing Address - Fax:512-459-7139
Practice Address - Street 1:3571 FAR WEST BLVD
Practice Address - Street 2:# 258
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3064
Practice Address - Country:US
Practice Address - Phone:512-459-4249
Practice Address - Fax:512-459-7139
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD-02462086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB 25361Medicare UPIN