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Individual

CAROLE LYNN GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
G2973
TX
208800000X
Urology Physician
Primary
ME 110346
FL
2088P0231X
Pediatric Urology Physician
G2973
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032766001
TX
Enumeration date
06/12/2006
Last updated
01/18/2021
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