Adams, Gordon
Adams, Gordon is an individual health care provider with primary practice located at 448 Castroville Rd , San Antonio TX 78207-5147. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Adams, Gordon can be contacted via phone (210) 434-1400.Contact Information
Primary practice address
448 Castroville Rd
San Antonio TX 78207-5147
Phone: (210) 434-1400
Fax: (210) 431-7472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04305 | Texas |
Profile Details
| NPI number | 1750392270 |
|---|---|
| LBN Legal business name | Adams, Gordon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 28th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750392270 | NPPES |
| Texas | Other | PA04305 | TX PHYSICIAN ASSISTANT LICENSE |
| Texas | MEDICAID | 202218803 | TX PHYSICIAN ASSISTANT LICENSE |
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