Individual
DR. AUTUMN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5619 ALTA AVE, DALLAS, TX 75206-7424
(214) 871-7979
Mailing address
5619 ALTA AVE, DALLAS, TX 75206-7424
(214) 871-7979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9959
TX
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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