Individual
GORDON L WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
440 RAYNOLDS ST, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32063
AZ
207R00000X
Internal Medicine Physician
Primary
P8750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818015
—
AZ
Enumeration date
12/05/2006
Last updated
12/04/2019
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