Darrell Ganus, MED, LAT, ATC

NPI 1417086141 · on the registry since 2007 · sole proprietor

Practice

Address: 301 N Kilgore St
Kilgore, TX 75662
Phone: (903) 983-3307
Fax: (903) 983-3211
Organisation at this address: Kilgore Independent School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas