| Jesse Gorley, M.d., Pllc | |
|
1411 9th St. Wichita Falls TX 76301-4302 | |
| (940) 386-9041 | |
| (940) 448-3298 |
| Full Name | Jesse Gorley, M.d., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1411 9th St., Wichita Falls, Texas |
| Authorized Official Name and Position | Jesse David Gorley (PRESIDENT) |
| Authorized Official Contact | 9403869041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Gorley, M.d., Pllc 1411 9th St. Wichita Falls TX 76301-4302 Ph: (940) 386-9041 | Jesse Gorley, M.d., Pllc 1411 9th St. Wichita Falls TX 76301-4302 Ph: (940) 386-9041 |
| NPI Number | 1164083010 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 03/07/2023 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 6204165442 |
|---|---|
| Medicare Enrollment ID | O20190912002376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164083010 | NPI | - | NPPES |
| M9322 | Other | TX | TEXAS MEDICAL BOARD |
| 1346452760 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jesse D Gorley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346452760 PECOS PAC ID: 6800125055 Enrollment ID: I20190912002656 |
| Provider Name | Gifty Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989339 PECOS PAC ID: 8325461486 Enrollment ID: I20200708000268 |
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