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Individual
DR. GORDON M MEAD
Active
Individual
DR. GORDON M MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012936
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053315846
GROUP NPI NUMBER
LA
01
—
106519504
TEXAS MEDICAID NUMBER
TX
05
—
1140716
—
LA
01
—
200019864
RAILROAD MEDICARE NUMBER
LA
Enumeration date
06/09/2005
Last updated
12/11/2020
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