CORNEL VAN GORP, MD, PA
Medical Practice at Soncy Rd, Amarillo, TX

License number
Texas L6205
Category
Medical Practice
Type
Specialist
Owner
Name: CORNEL C VAN GORP MD
Title: PRESIDENT
Phone: (806) 358-2626
Address
Address
3501 S Soncy Rd SUITE 137, Amarillo, TX 79119
National Provider ID: 1851336390
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CORNEL VAN GORP, M.D., PA

Plainview, TX  -  Amarillo, TX  -  Dumas, TX

Status:
Inactive
Doing business as:
Cornel Van Gorp, M.D., PA
Registration:
May 29, 2003
Addresses:
2308 W 5 St, Plainview, TX 79072 (Mailing)
3501 S Soncy Rd, Amarillo, TX 79119
502 Robin Rd, Dumas, TX 79029
State ID:
0800208946
Business type:
Professional Association
Director, Member:
Cornel Gorp Director, Member, inactive
TIN:
32035768699

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