Wendy Michelle Gordon in Texarkana - Specialist
Wendy Michelle Gordon - NPI 1528079068
Wendy Michelle Gordon is a Specialist in Texarkana, Texas. Wendy Michelle Gordon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wendy Michelle Gordon is 1528079068. The last update date is 2007-07-08.
Wendy Michelle Gordon's current location address is 2600 Saint Michael Dr, Texarkana, Texas. You can contact this provider via phone number 9036141000. The mailing address for Wendy Michelle Gordon is 2600 Saint Michael Dr, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Michelle Gordon |
|---|---|
| Address | 2600 Saint Michael Dr, Texarkana, Texas |
| Phone Number | 9036141000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LSA |
NPI Number Detail
| NPI Number | 1528079068 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2600 Saint Michael Dr |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755032372 |
| Phone Number | 9036141000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | SA00281 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0055FL | TX | BC/BS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wendy Michelle Gordon by the Centers for Medicare & Medicaid Services?
The Wendy Michelle Gordon has been assigned the NPI (National Provider Identifier) 1528079068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wendy Michelle Gordon?
The Wendy Michelle Gordon is situated at 2600 Saint Michael Dr, in the city of Texarkana, state of TX, with the zip code 755032372.
What is Wendy Michelle Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendy Michelle Gordon's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did Wendy Michelle Gordon receive its 1528079068 assignment?
The Wendy Michelle Gordon was assigned its 1528079068 on 2006-08-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Wendy Michelle Gordon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wendy Michelle Gordon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.