J. Chris Gorham Pa in Round Rock - General Practice

J. Chris Gorham Pa - NPI 1700930708

J. Chris Gorham Pa is a General Practice in Round Rock, Texas. J. Chris Gorham Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for J. Chris Gorham Pa is 1700930708. The last update date is 2010-02-01.

J. Chris Gorham Pa's current location address is 2000 S I H 35 Ste K1, Round Rock, Texas. You can contact this provider via phone number 5122557839 and fax number 5122557898. The mailing address for J. Chris Gorham Pa is 2000 S I H 35 Ste K1, Round Rock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization J. Chris Gorham Pa
Address 2000 S I H 35 Ste K1, Round Rock, Texas
Phone Number 5122557839
Fax Number 5122557898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gorham J. Chris
Credentials D.D.S.
Telephone Number 5122557839

NPI Number Detail

NPI Number 1700930708
Provider Enumeration Date 2007-01-23
Last Updated Date 2010-02-01

Provider Mailing Address Detail

Address 2000 S I H 35 Ste K1
City Round Rock
State Texas (TX)
Post Code 786816916
Phone Number 5122557839
Fax Number 5122557898

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 20097
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89D255 TX BLUE CROSS BLUE SHIELD OF TEXA
89D254 TX BLUE CROSS BLUE SHIELD OF TEXA

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FAQs about J. Chris Gorham Pa

What is the J. Chris Gorham Pa's unique identification number?

The J. Chris Gorham Pa has been assigned the NPI (National Provider Identifier) Number 1700930708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of J. Chris Gorham Pa?

The J. Chris Gorham Pa is situated at 2000 S I H 35 Ste K1, in the city of Round Rock, state of TX, with the zip code 786816916.

What is the J. Chris Gorham Pa's area of specialization and corresponding taxonomy classification?

The J. Chris Gorham Pa's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did J. Chris Gorham Pa receive its 1700930708 assignment?

The J. Chris Gorham Pa was assigned its 1700930708 on 2007-01-23, which is the date when this unique identifier was issued to the organization.

When was the J. Chris Gorham Pa's information last updated?

The J. Chris Gorham Pa's information was last updated on 2010-02-01.

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