Individual
JULIE GORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2901 S CAPITAL OF TEXAS HWY, AUSTIN, TX 78746-8101
(512) 329-6092
(512) 330-9941
Mailing address
6303 MOUNTAIN PARK CV, AUSTIN, TX 78731-2611
(201) 488-0696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8622T
TX
152W00000X
Optometrist
TUV006912
NY
Other
Enumeration date
05/21/2009
Last updated
11/27/2017
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