Provider Demographics
NPI:1750555819
Name:NARCISO C. GABOY MD., PLLC
Entity type:Organization
Organization Name:NARCISO C. GABOY MD., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARCISO
Authorized Official - Middle Name:CUESEODIO
Authorized Official - Last Name:GABOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-316-0940
Mailing Address - Street 1:1312 CENTRAL CT
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3142
Mailing Address - Country:US
Mailing Address - Phone:615-316-0940
Mailing Address - Fax:615-316-0941
Practice Address - Street 1:1312 CENTRAL CT
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3142
Practice Address - Country:US
Practice Address - Phone:615-316-0940
Practice Address - Fax:615-316-0941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN131589MD2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty