Individual
MS. LULA MAE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2110 SECRETARIET DR, STAFFORD, TX 77477-6457
(281) 222-0109
Mailing address
2110 SECRETARIET DR, STAFFORD, TX 77477-6457
(281) 222-0109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018206
TX
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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