Gorby, Michael Sydnor

Gorby, Michael Sydnor is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gorby, Michael Sydnor can be contacted via phone (903) 606-4129.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 606-4129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G3402 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G3402 Texas

Profile Details

NPI number 1366446049
LBN Legal business name Gorby, Michael Sydnor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366446049 NPPES
Texas Other P01290930 MEDICARE RAIL ROAD

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