Robert Eugene Gorton Jr., M.D.

Individual provider Active NPI Family Medicine Physician · Kempner, TX

NPI 1396895660 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1396895660
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
4301055340 (MI)
Practice address
499 County Road 4707
Kempner, TX 76539-5625
Phone
(254) 287-3796
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301055340MIMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301055340 MI Yes

Addresses

Primary practice location

499 County Road 4707
Kempner, TX 76539-5625

Mailing address

499 County Road 4707
Kempner, TX 76539-5625
Phone (254) 287-3796

Other providers in Kempner, TX

All providers in Kempner, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.