MEDICARE: ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF TEXAS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1962186338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF TEXAS

Provider Business Mailing Address
First Line	:	7515 MAIN ST STE 720
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4517
Country	:	US
Telephone Number	:	713-795-4120
Fax Number	:

Provider Business Practice Location Address
First Line	:	7515 MAIN ST STE 720
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4517
Country	:	US
Telephone Number	:	713-795-4120
Fax Number	:

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	NEIL L GORME
Credential	:	DDS, MD
Telephone Number	:	713-795-4120

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	03/17/2026

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