Individual
GORDON KENNETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
801 MCCLINTIC DR, GROESBECK, TX 76642-2130
(254) 729-3411
(254) 729-3258
Mailing address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3411
(254) 729-3258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00087
TX
Other
Enumeration date
07/12/2005
Last updated
04/01/2013
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