Gordley, Kyle Patrick
Gordley, Kyle Patrick is an sole proprietor health care provider with primary practice located at 129 Vision Park Blvd Ste 210 , Shenandoah TX 77384-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Gordley, Kyle Patrick can be contacted via phone (832) 813-5839.Contact Information
Primary practice address
129 Vision Park Blvd Ste 210
Shenandoah TX 77384-3024
Phone: (832) 813-5839
Fax: (832) 813-8512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M7222 | Texas |
Profile Details
| NPI number | 1437328002 |
|---|---|
| LBN Legal business name | Gordley, Kyle Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Aug 11th, 2020 - 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 | 1437328002 | NPPES |
| Texas | Other | 8BD300 | BC/BS |
| Texas | MEDICAID | 336662701 | BC/BS |
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