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NPI Code Detail

MEDICARE: DR. TROY GOR D.D.S., MSD

MEDICARE: DR. TROY GOR D.D.S., MSD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry22927TX

General Provider Information

NPI Number : 1720241136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TROY GOR D.D.S., MSD
Provider Business Mailing Address
First Line : 2601 GRAMERCY ST APT 2103
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3119
Country : US
Telephone Number : 903-738-4503
Fax Number :
Provider Business Practice Location Address
First Line : 1720 YALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4032
Country : US
Telephone Number : 713-802-0449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 07/07/2008

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Directions to “ DR. TROY GOR D.D.S., MSD” Practice Location

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