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Gavin Brent Longway, CPNP-PC
Pediatric Nurse Practitioner in Dallas, Texas
NPI 1598140774

Gavin Brent Longway is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Gavin Brent Longway practices in Dallas, TX and has the professional credentials of CPNP-PC. The NPI Number for Gavin Brent Longway is 1598140774 and holds a License No. AP128545 (Texas).

The current practice location address for Gavin Brent Longway is 1935 Medical District Dr, Dallas, TX and can be reached out via phone at 214-456-5100.

Location: 1935 Medical District Dr, Dallas, TX, 75235-7701
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Provider Profile Details
NPI Number
1598140774
Provider Name
Gavin Brent Longway
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Male
Address
1935 Medical District Dr, Dallas, TX, 75235-7701
Phone Number
214-456-5100
Fax Number
Provider Enumeration Date
07/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1935 Medical District Dr
City
State
Zip
75235-7701
Phone Number
214-456-5100
Fax Number
person
Provider Business Mailing Address Details
Address
1935 Medical District Dr
City
State
Zip
75235-7701
Phone Number
214-456-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP128545 (Texas)
Definition
Definition to come...
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