Individual
ABIGAIL ANNETTE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.073922
IL
207W00000X
Ophthalmology Physician
Primary
U3855
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
05/09/2023
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