DR. Ty L Gore, M.D.
NPI #1578544698 in Mineral Wells, Texas
Provider Information
- NPI Number
- 1578544698
- Entity Type
- Individual
- Name
- DR. Ty L Gore, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Feb 17, 2012
Practice Location
- Address
- 214 SW 26TH AVE
- Address 2
- SUITE B
- City
- Mineral Wells
- State
- Texas
- ZIP Code
- 76067-8249
- Phone
- (940) 325-9453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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