MEDICARE: ALEXIS JANEL GORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	1045481	TX

General Provider Information

NPI Number	:	1134007818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS JANEL GORE

Provider Business Mailing Address
First Line	:	PO BOX 230209
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77223-0209
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:	281-520-3018

Provider Business Practice Location Address
First Line	:	7037 CAPITOL ST STE N100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4643
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	01/13/2026

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Directions to “ ALEXIS JANEL GORE ” Practice Location

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