Organization
WAYNE H. GORDON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN ANN CRAVEN (EDI COORDINATOR)
(281) 295-4208
Entity
Organization
Contact information
Practice address
14607 SAN PEDRO AVE STE 220, SAN ANTONIO, TX 78232-4356
(281) 295-4208
(281) 295-4065
Mailing address
14607 SAN PEDRO AVE STE 220, SAN ANTONIO, TX 78232-4356
(281) 295-4208
(281) 295-4065
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080088001
—
TX
Enumeration date
05/02/2007
Last updated
11/06/2025
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