Gordley Plastic Surgery Pa in Shenandoah - Plastic And Reconstructive Surgery
Gordley Plastic Surgery Pa - NPI 1083885891
Gordley Plastic Surgery Pa is a Plastic And Reconstructive Surgery in Shenandoah, Texas. Gordley Plastic Surgery Pa practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Gordley Plastic Surgery Pa is 1083885891. The last update date is 2020-08-11.
Gordley Plastic Surgery Pa's current location address is 129 Vision Park Blvd Ste 210, Shenandoah, Texas. You can contact this provider via phone number 8328135839 and fax number 8328138512. The mailing address for Gordley Plastic Surgery Pa is 129 Vision Park Blvd Ste 210, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gordley Plastic Surgery Pa |
|---|---|
| Address | 129 Vision Park Blvd Ste 210, Shenandoah, Texas |
| Phone Number | 8328135839 |
| Fax Number | 8328138512 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D./OWNER |
|---|---|
| Authorized Official Name | Gordley Patrick Kyle |
| Credentials | M.D. |
| Telephone Number | 8328135839 |
NPI Number Detail
| NPI Number | 1083885891 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 129 Vision Park Blvd Ste 210 |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773843024 |
| Phone Number | 8328135839 |
| Fax Number | 8328138512 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | M7222 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DP0233 | TX | RR MC PIN | |
| 336661901 | TX | -- |
Post Comment/ Review Below
What is the Gordley Plastic Surgery Pa's unique identification number?
The Gordley Plastic Surgery Pa has been assigned the NPI (National Provider Identifier) Number 1083885891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gordley Plastic Surgery Pa's physical address?
The Gordley Plastic Surgery Pa is physically located at 129 Vision Park Blvd Ste 210, in the city of Shenandoah, TX, with the postal code 773843024.
What is Gordley Plastic Surgery Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gordley Plastic Surgery Pa's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083885891 to Gordley Plastic Surgery Pa?
The Centers for Medicare & Medicaid Services assigned the 1083885891 to Gordley Plastic Surgery Pa on 2008-03-19.
As of what date were the Gordley Plastic Surgery Pa's details last updated?
The information pertaining to the Gordley Plastic Surgery Pa, including its address, specialty, and other details, was most recently updated on 2020-08-11.
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