Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 07984 | MS |
NPI | 1013976877 |
---|---|
Provider Name | Dr. Ney Mckinley Gore III |
First Address | El Paso, TX 79920-5001 |
Second Address | El Paso, TX 79920-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 14/07/2008 |