Gordon, Elizabeth A
Gordon, Elizabeth A is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 106 , Angleton TX 77515-4170. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gordon, Elizabeth A can be contacted via phone (979) 864-3034.Contact Information
Primary practice address
146 E Hospital Dr Ste 106
Angleton TX 77515-4170
Phone: (979) 864-3034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K4070 | Texas |
Profile Details
| NPI number | 1265436984 |
|---|---|
| LBN Legal business name | Gordon, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Feb 28th, 2023 - about 3 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 | 1265436984 | NPPES |
| Texas | MEDICAID | 104650006 |
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