Craig S Gordon is a Specialist in Katy, Texas. Craig S Gordon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Craig S Gordon is 1821079013. The last update date is 2019-10-16.
Craig S Gordon's current location address is 21316 Provincial Blvd, Katy, Texas. You can contact this provider via phone number 2816476667 and fax number 2816476610. The mailing address for Craig S Gordon is 21316 Provincial Blvd, Katy, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig S Gordon |
|---|---|
| Address | 21316 Provincial Blvd, Katy, Texas |
| Phone Number | 2816476667 |
| Fax Number | 2816476610 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821079013 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2019-10-16 |
Provider Mailing Address Detail
| Address | 21316 Provincial Blvd |
|---|---|
| City | Katy |
| State | Texas (TX) |
| Post Code | 774507580 |
| Phone Number | 2816476667 |
| Fax Number | 2816476610 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | F4848 |
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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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What is the unique identifier code issued to Craig S Gordon by the Centers for Medicare & Medicaid Services (CMS)?
The Craig S Gordon has been assigned the NPI (National Provider Identifier) 1821079013. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Craig S Gordon located?
The Craig S Gordon is located at 21316 Provincial Blvd, Katy, TX 774507580.
When was the Craig S Gordon's 1821079013 issued?
The Craig S Gordon's 1821079013 was issued on 2005-11-07.
When was the Craig S Gordon's information last updated?
The Craig S Gordon's information was last updated on 2019-10-16.
When was the information pertaining to Craig S Gordon most recently updated or revised?
The details related to Craig S Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-16.