Individual
ERIC HOUSTON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-4371
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161917001
—
AR
01
—
5N578C207
MEDICARE
AR
Enumeration date
06/10/2006
Last updated
03/28/2018
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