Individual
MICHELLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15314 WILLVIEW RD, MISSOURI CITY, TX 77489-2403
(281) 886-6108
Mailing address
15314 WILLVIEW RD, MISSOURI CITY, TX 77489-2403
(281) 886-6108
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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