Most Relevant Information
Provider Data
| NPI Number: | 1003504762 |
| Provider Name: | KRYSTAL GABLE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA11795 |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
2100 W COLORADO BLVD
DALLAS
TX
752111900
Practice Location Phone/Fax
| Phone: | 3104331135 |
| Fax: |
Provider Mailing Location
2100 W COLORADO BLVD
DALLAS
TX
752111900
Provider Mailing Phone/Fax
| Phone: | 3104331135 |
| Fax: |