Individual
SUSAN E GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
6410 FANNIN ST, 600, HOUSTON, TX 77030-3000
(832) 325-7100
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
533389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189466901
—
TX
01
—
8Y3239
BCBS
TX
Enumeration date
11/06/2007
Last updated
05/19/2009
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