# EAST AUSTIN OBGYN

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

## Provider details

- **NPI number:** 1659535177
- **Authorized official:** ARTHUR JAMES GORE M.D. (DIRECTOR)
- **Authorized official phone:** (512) 784-2543

## Contact information

- **Practice address:** 14900 AVERY RANCH BLVD, C200-54, AUSTIN, TX 78717-3951
- **Practice address phone:** (512) 784-2543
- **Mailing address:** 14900 AVERY RANCH BLVD, C200-54, AUSTIN, TX 78717-3951
- **Mailing address phone:** (512) 784-2543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G7522 | TX | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/14/2008