NPI 1275714925

Tina Louise Gore, LMT

Practitioner Contractor Waxahachie, TX

Practice location

Address: 1170 Colorado Dr, Waxahachie, TX 75167-8199
Phone: (972) 938-2316
Fax: (972) 937-8780

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MT104092 (TX)

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Registry record

NPI: 1275714925
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2007
Record last updated: 23 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.