Provider Demographics
NPI:1174714737
Name:APRIL GATSON, MD
Entity type:Organization
Organization Name:APRIL GATSON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-663-2515
Mailing Address - Street 1:PO BOX 2428
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-2428
Mailing Address - Country:US
Mailing Address - Phone:903-663-2515
Mailing Address - Fax:903-663-2571
Practice Address - Street 1:103 W LOOP 281
Practice Address - Street 2:SUITE 750
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4653
Practice Address - Country:US
Practice Address - Phone:903-663-2515
Practice Address - Fax:903-663-2571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH42648Medicare UPIN
TX00454QMedicare PIN