Individual
ORA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12712 W LAKE HOUSTON PKWY STE B-4056, HOUSTON, TX 77044-6467
(281) 205-3900
Mailing address
PO BOX 8925, HOUSTON, TX 77249-8925
(832) 814-5032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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