Individual
MR. GORDON KEITH ALCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 UNIVERSITY AVE SUITE 201, MARSHALL, TX 75670-5247
(903) 935-7708
(903) 935-6248
Mailing address
304 UNIVERSITY AVE SUITE 201, MARSHALL, TX 75670-5247
(903) 935-7708
(903) 935-6248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J7405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020026756
MEDICARE RAILROAD RETIRE
TX
05
—
035557001
—
TX
Enumeration date
09/27/2006
Last updated
05/09/2008
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