Individual
DR. GORDON BRUCE HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3180 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8039
(409) 729-6231
(409) 727-6537
Mailing address
3180 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8039
(409) 729-6231
(409) 727-6537
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E2602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115344702
—
TX
Enumeration date
06/20/2005
Last updated
01/11/2011
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