Garry Lynn Gore, MD | |
1604 Rock Prairie Rd, College Station, TX 77845-8345 | |
(979) 764-5100 | |
Not Available |
Full Name | Garry Lynn Gore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1604 Rock Prairie Rd, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144278227 | NPI | - | NPPES |
137898615 | Medicaid | TX | |
137898614 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K2909 (Texas) | Primary |
Entity Name | Scott & White Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Garry Lynn Gore, MD 8406 Spring Crk, College Station, TX 77845-4607 Ph: () - | Garry Lynn Gore, MD 1604 Rock Prairie Rd, College Station, TX 77845-8345 Ph: (979) 764-5100 |
Dr. Chet Dean Schrader, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Anthony Joseph Hackett, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Kenneth Wilson Conner Iv, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Ann Marie Reed, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Texas A And M University A P Beutel Health Ctr, Tamu 1264, College Station, TX 77843 Phone: 979-458-8272 Fax: 979-458-8352 | |
Dr. Ripal H Patel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Scott Kimball, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 |