Eric Houston Gordon in Little Rock - Sports Medicine
Eric Houston Gordon - NPI 1295776037
Eric Houston Gordon is a Sports Medicine in Little Rock, Arkansas. Eric Houston Gordon practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Eric Houston Gordon is 1295776037. The last update date is 2018-03-28.
Eric Houston Gordon's current location address is 800 Fair Park Blvd, Little Rock, Arkansas. You can contact this provider via phone number 5016633647 and fax number 5016669653. The mailing address for Eric Houston Gordon is 800 Fair Park Blvd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Houston Gordon |
|---|---|
| Address | 800 Fair Park Blvd, Little Rock, Arkansas |
| Phone Number | 5016633647 |
| Fax Number | 5016669653 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295776037 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2018-03-28 |
Provider Mailing Address Detail
| Address | 800 Fair Park Blvd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 72204 |
| Phone Number | 5016633647 |
| Fax Number | 5016669653 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | E-4371 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5N578C207 | AR | MEDICARE | |
| 161917001 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eric Houston Gordon?
The Eric Houston Gordon has been issued the NPI (National Provider Identifier) 1295776037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Eric Houston Gordon's facilities are geographically located?
The facilities of Eric Houston Gordon are physically situated at the following location: 800 Fair Park Blvd, Little Rock, AR, 72204.
What is the Eric Houston Gordon's specialty and taxonomy code?
The Eric Houston Gordon's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Eric Houston Gordon receive the assignment of its 1295776037 from the Centers for Medicare & Medicaid Services?
The Eric Houston Gordon was issued its 1295776037 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details pertaining to Eric Houston Gordon last refreshed?
The information related to the Eric Houston Gordon, including its address, specialty, and other relevant details, was last updated on 2018-03-28.