Individual
GARRY LYNN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 HOUSTON STREET, COLLEGE STATION, TX 77843-0001
(979) 458-8300
(979) 458-8319
Mailing address
1264 TAMU, COLLEGE STATION, TX 77843-1264
(979) 458-8300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K2909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137898614
—
TX
05
—
137898615
—
TX
Enumeration date
05/04/2006
Last updated
05/14/2026
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