Provider Demographics
NPI:1922185412
Name:FALCON, GARY LEE (SA , AS - C)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:LEE
Last Name:FALCON
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Gender:M
Credentials:SA , AS - C
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Mailing Address - Street 1:1301 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-3611
Mailing Address - Country:US
Mailing Address - Phone:325-675-0372
Mailing Address - Fax:325-670-4624
Practice Address - Street 1:1100 N 19TH ST
Practice Address - Street 2:SUITE 4-G
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2344
Practice Address - Country:US
Practice Address - Phone:325-670-4620
Practice Address - Fax:325-670-4624
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist