Individual
GORDIE O'RORKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPA-C
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7760
(210) 358-7555
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210732801
—
TX
Enumeration date
10/29/2009
Last updated
08/16/2012
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