Provider Demographics
NPI:1306063482
Name:GANDY, JANE (LICENSED MIDWIFE)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:GANDY
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 PATRICIA LN STE E
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-2655
Mailing Address - Country:US
Mailing Address - Phone:214-693-1988
Mailing Address - Fax:214-594-2256
Practice Address - Street 1:2852 PATRICIA LN STE E
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-2655
Practice Address - Country:US
Practice Address - Phone:214-693-1988
Practice Address - Fax:214-594-2256
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98004176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife