Individual
DR. KATHERINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DEPARTMENT OF DERMATOLOGY, DALLAS, TX 75390-9069
(214) 645-2400
Mailing address
5323 HARRY HINES BLVD, UTSW DEPARTMENT OF DERMATOLOGY, DALLAS, TX 75390-9069
(214) 645-2400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q7048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7048
TEXAS MEDICAL BOARD PHYSICIAN LICENSE
TX
Enumeration date
04/12/2013
Last updated
05/03/2017
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