Individual
DR. BRIAN RUSSELL GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1000 E 41ST ST, #915, AUSTIN, TX 78751-4808
(512) 359-3205
Mailing address
1400 BECKETT ST, AUSTIN, TX 78757-8302
(512) 264-4801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13355
TX
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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