Individual
GORDON S TILNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, UNIT 443, HOUSTON, TX 77030-4009
(713) 745-1247
(713) 794-5492
Mailing address
P O BOX 4439, UNIT 443, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 794-5492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05564
TX
Other
Enumeration date
12/14/2006
Last updated
07/17/2008
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