Leo Dan Gordon is a General Practice in Weimar, Texas. Leo Dan Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leo Dan Gordon is 1073593497. The last update date is 2007-07-08.
Leo Dan Gordon's current location address is 503 E Main St, Weimar, Texas. You can contact this provider via phone number 9797258562 and fax number 9797256822. The mailing address for Leo Dan Gordon is 503 E Main St, Weimar, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Dan Gordon |
|---|---|
| Address | 503 E Main St, Weimar, Texas |
| Phone Number | 9797258562 |
| Fax Number | 9797256822 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073593497 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 503 E Main St |
|---|---|
| City | Weimar |
| State | Texas (TX) |
| Post Code | 78962 |
| Phone Number | 9797258562 |
| Fax Number | 9797256822 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | TX15621 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D15621 | BCBS | ||
| 837109 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Leo Dan Gordon by the Centers for Medicare & Medicaid Services?
The Leo Dan Gordon has been assigned the NPI (National Provider Identifier) 1073593497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Leo Dan Gordon is located?
The Leo Dan Gordon is situated at the following address: 503 E Main St, Weimar, TX, 78962.
What is the Leo Dan Gordon's specialty and taxonomy code?
The Leo Dan Gordon's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Leo Dan Gordon receive its 1073593497?
The Leo Dan Gordon was issued its 1073593497 on 2006-01-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Leo Dan Gordon most recently updated?
The details pertaining to the Leo Dan Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.