Kyle P Gordley Md

LBN: Gordley Plastic Surgery Pa
Kyle P Gordley Md is an health care organization with primary practice located at 129 Vision Park Blvd Ste 210 , Shenandoah TX 77384-3024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Gordley Plastic Surgery Pa can be contacted via phone (832) 813-5839, or through Gordley, Kyle Patrick via phone (832) 813-5839.

Contact Information

Primary practice address
129 Vision Park Blvd Ste 210 Shenandoah TX 77384-3024
Fax: (832) 813-8512
Website:
Authorized official contact:
Name: Gordley, Kyle Patrick Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X M7222 Texas

Profile Details

NPI number 1083885891
LBN Legal business name Gordley Plastic Surgery Pa
DBA Doing business as Kyle P Gordley Md
Authorized official Gordley, Kyle Patrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Aug 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083885891 NPPES
Texas Other DP0233 RR MC PIN
Texas MEDICAID 336661901 RR MC PIN

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