Jill M Gore, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Sam Houston, TX

NPI

1093741332

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA04773 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-25

Last updated

2026-07-01