Individual
DR. KYLE PATRICK GORDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 VISION PARK BLVD STE 210, SHENANDOAH, TX 77384-3024
(832) 813-5839
(832) 813-8512
Mailing address
129 VISION PARK BLVD STE 210, SHENANDOAH, TX 77384-3024
(832) 813-5839
(832) 813-8512
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M7222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336662701
—
TX
01
—
8BD300
BC/BS
TX
Enumeration date
02/27/2008
Last updated
08/11/2020
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