Individual
GAVIN WARREN LINDSEY MCCORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 S EGRET BAY BLVD APT 1707, LEAGUE CITY, TX 77573-5498
(256) 529-5305
Mailing address
1805 S EGRET BAY BLVD APT 1707, LEAGUE CITY, TX 77573-5498
(256) 529-5305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87589
TX
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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