Individual
GORMAN M THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 673-3195
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 672-8292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F2063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060055530
RAILROAD MEDICARE
—
01
—
125495100
FIRSTCARE
—
05
—
138567605
—
TX
01
—
80671S
BCBS
—
Enumeration date
09/20/2006
Last updated
04/11/2013
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