Individual
CHARLES R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2737 S BROADWAY AVE, TYLER, TX 75701-5413
(903) 592-6000
(903) 592-3224
Mailing address
PO BOX 6605, TYLER, TX 75711-6605
(903) 592-6000
(903) 595-1592
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H5238
TX
Other
Enumeration date
08/16/2006
Last updated
01/30/2019
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