Provider Demographics
NPI:1720363344
Name:GASTON, PAULA LEANN (NP-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:LEANN
Last Name:GASTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 STONE AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-9342
Mailing Address - Country:US
Mailing Address - Phone:903-706-5071
Mailing Address - Fax:903-706-5073
Practice Address - Street 1:635 STONE AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9342
Practice Address - Country:US
Practice Address - Phone:903-706-5071
Practice Address - Fax:903-706-5073
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0911237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily