OM GAUTAM

SHERMAN, TX
NPI1013552843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  2069440)
Enumeration Date2019-11-15
Last Update Date2019-11-15
Business Address
OM GAUTAM PTA
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number: 903-893-9636
Mailing Address
OM GAUTAM PTA
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number: