Dennis C Gore, MD | |
301 University Blvd, Galveston, TX 77555-5302 | |
(409) 772-2222 | |
Not Available |
Full Name | Dennis C Gore |
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Gender | Male |
Speciality | Surgery |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427157460 | NPI | - | NPPES |
129059503 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | G9350 (Texas) | Secondary |
208600000X | Surgery | G9350 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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Dennis C Gore, MD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222 | Dennis C Gore, MD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222 |
Dr. Jennifer Ann Minneman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-4456 | |
Dr. Ravi Radhakrishnan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-5666 Fax: 409-772-4253 | |
Mohammadali Mohajel Shoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1369 | |
Joseph Patrick Kearney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222 | |
Juliano Lentz Carvalho, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531 | |
Kimberley Christiane Brondeel, Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8119 | |
Dr. Sara Michelle Demola, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Mc 1172, Galveston, TX 77555 Phone: 409-772-9066 Fax: 409-747-7319 |