Individual
DR. GORDON KIM RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, #607, SAN ANTONIO, TX 78234-4504
(210) 292-5350
(210) 292-3781
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4581
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22511
NE
208D00000X
General Practice Physician
22511
NE
Other
Enumeration date
01/03/2006
Last updated
07/23/2020
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