Darrell Layne Ganus, MED, LAT, ATC

Athletic Trainer · Kilgore, TX

Individual Active NPI

NPI number 1417086141

Practice location

301 N Kilgore St
Kilgore, TX 75662-5825
Phone
(903) 983-3307
Fax
(903) 983-3211

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NPI record

NPI
1417086141
Entity type
Individual (Type 1)
Enumeration date
March 6, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1246 TX

Mailing address

806 Woodlawn St
Kilgore, TX 75662-3650
Phone
(903) 983-3307
Fax
(903) 983-3211

About Darrell Ganus

Darrell Layne Ganus, MED, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 301 N Kilgore St, Kilgore, TX 75662-5825. The NPI number 1417086141 was assigned on March 6, 2007 and the record was last updated on July 8, 2007.

Darrell Ganus lists a license in the registry: #1246 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Darrell Layne Ganus, MED, LAT, ATC?

The NPI number is 1417086141.

What is the phone number of Darrell Ganus?

The phone number listed for the practice location is (903) 983-3307.

Where is Darrell Ganus located?

301 N Kilgore St, Kilgore, TX 75662-5825.

What is the taxonomy code for Darrell Ganus?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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