Jesse Gorley, M.D., PLLC
Psychiatry & Neurology, Psychiatry in Wichita Falls, TX. Organization (NPI-2).
NPI number1164083010
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1164083010
- Entity type
- Organization (NPI-2)
- Legal business name
- Jesse Gorley, M.D., PLLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Sep 15, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
1411 9th St.Wichita Falls, TX 76301-4302
Phone 940-386-9041 · Fax 940-448-3298
Mailing address
1411 9th St.Wichita Falls, TX 76301-4302
Phone 940-386-9041 · Fax 940-448-3298
Authorized official
Jesse David Gorley
President
9403869041
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