Individual
DR. EDWARD S. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 BEECH CT, HUDSON OAKS, TX 76087-9447
(630) 852-9993
Mailing address
105 BEECH CT, HUDSON OAKS, TX 76087-9447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050060A
IN
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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