Provider Demographics
NPI:1619082591
Name:DANKIS, GAIL A (PT)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:A
Last Name:DANKIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:A
Other - Last Name:WUKASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4649
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-0054
Mailing Address - Country:US
Mailing Address - Phone:512-267-5400
Mailing Address - Fax:512-267-5700
Practice Address - Street 1:5802 THUNDERBIRD ST
Practice Address - Street 2:SUITE A
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-5887
Practice Address - Country:US
Practice Address - Phone:512-267-5400
Practice Address - Fax:512-267-5700
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3497685OtherUNITED HEALTHCARE
TXTXB125290OtherMEDICARE
TX772862345OtherUNICARE
TX742862345OtherGALAXY
TX742862345OtherGREAT WEST
TX772862345OtherSCOTT & WHITE
TX4549669OtherAETNA
TX742862345OtherCIGNA
TX772862345OtherHEALTHSMART
TX742862345OtherPHCS
TX8T4543/0092EXOtherBCBS
TX742862345OtherGOLDEN RULE
TX772862345OtherTRUE CHOICE
TX676548Medicare ID - Type Unspecified