Individual
W GORDON EILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT SCS ATC
Contact information
Practice address
5407 NEW COPELAND RD, TYLER, TX 75703
(903) 780-5886
(903) 531-2241
Mailing address
5407 NEW COPELAND RD, TYLER, TX 75703
(903) 780-5886
(903) 531-2241
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1057388
TX
2255A2300X
Athletic Trainer
AT1193
TX
Other
Enumeration date
06/06/2006
Last updated
07/01/2011
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