Individual
VALERIE JEAN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1505 W JEFFERSON ST, SUITE 165, WAXAHACHIE, TX 75165-2277
(972) 923-1457
(972) 923-1304
Mailing address
1505 W JEFFERSON ST, SUITE 165, WAXAHACHIE, TX 75165-2277
(972) 923-1457
(972) 923-1304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L8353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165948402
—
TX
05
—
165952602
—
TX
01
—
8BR114
BCBS
TX
01
—
8M3095
BCBS
TX
Enumeration date
07/08/2006
Last updated
05/17/2023
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