Individual
DR. DAVID H GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 MADISON OAK DR, SUITE#200, SAN ANTONIO, TX 78258-3943
(210) 545-6972
(210) 545-1016
Mailing address
540 MADISON OAK DR, SUITE#200, SAN ANTONIO, TX 78258-3943
(210) 545-6972
(210) 545-1016
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E9664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129531303
—
TX
01
—
4273192
AETNA PPO
—
01
—
830041663
RAILROAD MEDICARE
TX
01
—
83Z201
BLUE CROSS/BLUE SHIELD OF
TX
01
—
924685
AETNA HMO
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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