Individual
MARINA V. GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(210) 916-1797
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P9579
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
P9579
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P9579
TX
Other
Enumeration date
06/17/2007
Last updated
12/03/2019
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