| Larry Christopher Gough, PTA | |
|
3650 S Interstate 35 E, Waxahachie, TX 75165 | |
| (972) 937-7320 | |
| Not Available |
| Full Name | Larry Christopher Gough |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3650 S Interstate 35 E, Waxahachie, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598247298 | NPI | - | NPPES |
| 2074909 | Other | TX | PHYSICAL THERAPY ASSISTANT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2074909 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Christopher Gough, PTA 3650 S Interstate 35 E, Waxahachie, TX 75165 Ph: (972) 937-7320 | Larry Christopher Gough, PTA 3650 S Interstate 35 E, Waxahachie, TX 75165 Ph: (972) 937-7320 |
Wenbao Wang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2460 N Interstate 35 E Rd, Suite 265, Waxahachie, TX 75165 Phone: 469-800-9740 Fax: 469-800-9741 |