| Doctor Name: | DR. GARY R. ELKINS |
| NPI Number: | 1003876855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.H.D. |
| License Number: | 22520 |
| Business Practice Address: | 2027 S 61st St Suite 121 Temple, TX - 765046867 |
| Business Phone Number: | 2547786922 |
| Business Fax Number: | 2547784332 |
| Mailing Address: | 2027 S 61st St, Suite 121 TEMPLE |
| State: | TX |
| Postal Code: | 765046867 |
| Phone Number: | 2547786922 |
| Fax Number: | 2547784332 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 22520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |