Individual
BREYANNA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
11155 MAIN ST, HOUSTON, TX 77025-5600
(713) 747-4171
Mailing address
11155 MAIN ST, HOUSTON, TX 77025-5600
(713) 747-4171
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1677
TX
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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