Deitrick L Gorman in Pecos - Family Medicine
Deitrick L Gorman - NPI 1649281569
Deitrick L Gorman is a Family Medicine in Pecos, Texas. Deitrick L Gorman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Deitrick L Gorman is 1649281569. The last update date is 2015-07-23.
Deitrick L Gorman's current location address is 200 Meadowbrook Dr, Pecos, Texas. You can contact this provider via phone number 4324470565 and fax number 4324475053. The mailing address for Deitrick L Gorman is 200 Meadowbrook Dr, Pecos, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deitrick L Gorman |
|---|---|
| Address | 200 Meadowbrook Dr, Pecos, Texas |
| Phone Number | 4324470565 |
| Fax Number | 4324475053 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1649281569 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2015-07-23 |
Provider Mailing Address Detail
| Address | 200 Meadowbrook Dr |
|---|---|
| City | Pecos |
| State | Texas (TX) |
| Post Code | 797726607 |
| Phone Number | 4324470565 |
| Fax Number | 4324475053 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | N4435 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 211545301 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Deitrick L Gorman by the Centers for Medicare & Medicaid Services?
The Deitrick L Gorman has been issued the NPI (National Provider Identifier) 1649281569 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Deitrick L Gorman?
The Deitrick L Gorman is physically situated at 200 Meadowbrook Dr, in the city of Pecos, state of TX, with the postal code 797726607.
What is Deitrick L Gorman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deitrick L Gorman's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649281569 to Deitrick L Gorman?
The Centers for Medicare & Medicaid Services assigned the 1649281569 to Deitrick L Gorman on 2006-08-10.
When was the information regarding Deitrick L Gorman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deitrick L Gorman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-23.