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Individual

GORMAN M THORP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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