Individual
DR. WILLIAM EDWARD GORDON
Active
Individual
DR. WILLIAM EDWARD GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M5192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185355804
—
TX
01
—
185355805
CSHCN
TX
Enumeration date
12/20/2006
Last updated
04/04/2012
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