Organization
GORDEN EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD BRADLEY GORDEN M.D. (PRESIDENT)
(254) 791-2020
Entity
Organization
Contact information
Practice address
1618 CANYON CREEK DR, SUITE 120, TEMPLE, TX 76502-3275
(254) 791-2020
(254) 791-2025
Mailing address
1618 CANYON CREEK DR, SUITE 120, TEMPLE, TX 76502-3275
(254) 791-2020
(254) 791-2025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F1594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039GN
BLUE CROSS BLUE SHIELD
TX
05
—
142430101
—
TX
Enumeration date
02/09/2006
Last updated
08/22/2020
Update your record
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