Bush, Gordon A.
Bush, Gordon A. is an individual health care provider with primary practice located at 14023 Southwest Fwy , Sugar Land TX 77478-3550. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bush, Gordon A. can be contacted via phone (281) 325-4100.Contact Information
Primary practice address
14023 Southwest Fwy
Sugar Land TX 77478-3550
Phone: (281) 325-4100
Fax: (281) 325-4239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 23760 | Texas |
Profile Details
| NPI number | 1104950138 |
|---|---|
| LBN Legal business name | Bush, Gordon A. |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jun 3rd, 2008 - about 18 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 | 1104950138 | NPPES |
| Texas | Other | A071956 | VALUE OPTIONS - MHC # |
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