Gore, Garry Lynn
Gore, Garry Lynn is an sole proprietor health care provider with primary practice located at 1604 Rock Prairie Rd , College Station TX 77845-8345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gore, Garry Lynn can be contacted via phone (979) 764-5100.Contact Information
Primary practice address
1604 Rock Prairie Rd
College Station TX 77845-8345
Phone: (979) 764-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | K2909 | Texas |
Profile Details
| NPI number | 1144278227 |
|---|---|
| LBN Legal business name | Gore, Garry Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144278227 | NPPES |
| Texas | MEDICAID | 137898615 | |
| Texas | MEDICAID | 137898614 |
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