Individual
LELVE JUSTIN GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 ROCK PRAIRIE RD STE 460, COLLEGE STATION, TX 77845-8309
(979) 704-6173
(979) 704-6174
Mailing address
1602 ROCK PRAIRIE RD STE 460, COLLEGE STATION, TX 77845-8309
(979) 704-6173
(979) 704-6174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J6453
TX
Other
Enumeration date
07/08/2005
Last updated
04/09/2021
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