Stan Lee Gore NP

NPI 1457520595 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1457520595
Gender Male
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
18951 N MEMORIAL DR
HUMBLE TX, 77338-4217, US
Phone (281) 540-7999
Fax (281) 540-7351
Business Location
18951 N MEMORIAL DR
HUMBLE TX, 77338-4217, US
Phone (281) 540-7999
Fax (281) 540-7351
Toxanomy
Taxonomy Code 363LF0000X
License State Texas
License Number 535364
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According to our database, Stan Lee Gore NP NPI is 1457520595, taxonomy code is 363LF0000X and license number is 535364, license state is located at Texas. Stan Lee Gore NP physically located at 18951 N Memorial Dr, Humble TX, 77338-4217. NPI Number Stan Lee Gore NP has the Individual type.

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1457520595 NPI number is provided on an as is basis without warranty of any kind. 1457520595 is maintained by the National Plan & Provider Enumeration System. The contents of Stan Lee Gore NP are for informational purposes only.