| Justin Gor, MD | |
|
622 W State Highway 71 Ste 102, Bastrop, TX 78602-4286 | |
| (512) 308-4311 | |
| (512) 406-7397 |
| Full Name | Justin Gor |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 4 Years |
| Location | 622 W State Highway 71 Ste 102, Bastrop, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689314437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | V9908 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Regional Clinic Pa | 3072507789 | 398 |
| Entity Name | Austin Regional Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Gor, MD 6210 E Hwy 290, Austin, TX 78723-1142 Ph: Not Available | Justin Gor, MD 622 W State Highway 71 Ste 102, Bastrop, TX 78602-4286 Ph: (512) 308-4311 |
Dr. Christine Ann Trevino, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 512-308-6894 |
Larry C Herrera, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 877-583-4093 |
Dr. Melinda Holliday, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 622 W State Highway 71 Ste 102, Bastrop, TX 78602 Phone: 512-308-4311 Fax: 512-406-7327 |
Dr. Mary Jane Wray, M.D., PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1602 Hill St, Bastrop, TX 78602 Phone: 512-772-4887 Fax: 830-875-6398 |
Dr. Edgar L Molina, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 |