Provider Demographics
NPI:1649275470
Name:GATSON, APRIL (MD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GATSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2428
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-2428
Mailing Address - Country:US
Mailing Address - Phone:903-663-2515
Mailing Address - Fax:903-663-2571
Practice Address - Street 1:801 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5414
Practice Address - Country:US
Practice Address - Phone:903-663-2515
Practice Address - Fax:903-663-2571
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145853101Medicaid
TX145853101Medicaid
TX00454QMedicare PIN