# GORDON SACK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053642777
- **Authorized official:** DR. GORDON SACK MD (OWNER)
- **Authorized official phone:** (713) 910-6464

## Contact information

- **Practice address:** 3339 FAIRVIEW ST, PASADENA, TX 77504-1903
- **Practice address phone:** (713) 910-6464
- **Practice address fax:** (713) 910-6995
- **Mailing address:** 3339 FAIRVIEW ST, PASADENA, TX 77504-1903
- **Mailing address phone:** (713) 910-6464
- **Mailing address fax:** (713) 910-6995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2010
- **Last updated:** 10/13/2010