# L JUSTIN GAYLE MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003206285
- **Authorized official:** LELVE JUSTIN GAYLE MD (PHYSICIAN)
- **Authorized official phone:** (979) 229-9189

## Contact information

- **Practice address:** 1602 ROCK PRAIRIE RD STE 460, COLLEGE STATION, TX 77845-8309
- **Practice address phone:** (979) 704-6173
- **Practice address fax:** (979) 704-6174
- **Mailing address:** 1602 ROCK PRAIRIE RD STE 460, COLLEGE STATION, TX 77845-8309
- **Mailing address phone:** (979) 704-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J6453 | TX | Yes |

## Other

- **Enumeration date:** 01/27/2015
- **Last updated:** 04/09/2021