Individual
GORDON ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
448 CASTROVILLE RD, SAN ANTONIO, TX 78207-5147
(210) 434-1400
(210) 431-7472
Mailing address
448 CASTROVILLE RD, SAN ANTONIO, TX 78207-5147
(210) 434-1400
(210) 431-7472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202218803
—
TX
01
—
PA04305
TX PHYSICIAN ASSISTANT LICENSE
TX
Enumeration date
08/10/2006
Last updated
01/28/2019
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