Gorn, Michael
Gorn, Michael is an individual health care provider with primary practice located at 9835 N Lake Creek Pkwy , Austin TX 78717-6210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Gorn, Michael can be contacted via phone (832) 824-1065.Contact Information
Primary practice address
9835 N Lake Creek Pkwy
Austin TX 78717-6210
Phone: (832) 824-1065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Q1616 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 25MA08378700 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Q1616 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 235853 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | Q1616 | Texas |
Profile Details
| NPI number | 1326138728 |
|---|---|
| LBN Legal business name | Gorn, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | May 7th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326138728 | NPPES |
| Texas | Other | 376604YLEX | MEDICARE PTAN |
| Texas | MEDICAID | 342204001 | MEDICARE PTAN |
| Texas | Other | 0034126 | MEDICARE PTAN |
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