Individual
C GORDON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E1883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127529903
—
TX
05
—
127529905
—
TX
01
—
127529907
CSHCN
TX
Enumeration date
08/15/2006
Last updated
05/06/2009
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