Individual provider · Type 1 NPI

Samantha Gore, PA-C

Medical Physician Assistant · Seguin, TX

NPI number 1932573045 Active

Practice location

205 N King St Ste 200
Seguin, TX 78155-5836

Fax (830) 379-5201

Mailing address

277 Gin Spur
Seguin, TX 78155-9415

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10090 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1932573045

Samantha Gore, PA-C's National Provider Identifier is 1932573045, issued on Dec 1, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seguin, TX. The record was last updated on Dec 1, 2015.