Gourley, Eric Jerome

Gourley, Eric Jerome is an individual health care provider with primary practice located at 800 Scott And White Dr , College Station TX 77845-6440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gourley, Eric Jerome can be contacted via phone (979) 207-4000.

Contact Information

Primary practice address
800 Scott And White Dr College Station TX 77845-6440
Phone: (979) 207-4000
Fax: (979) 207-4562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K8179 Texas

Profile Details

NPI number 1851339378
LBN Legal business name Gourley, Eric Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 19th, 2020 - 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 1851339378 NPPES
South Carolina MEDICAID 612858

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