institution
Gordley Plastic Surgery Pa
Plastic and Reconstructive Surgery Physician in Shenandoah, Texas
NPI 1083885891

Gordley Plastic Surgery Pa is a Plastic and Reconstructive Surgery Physician based in Shenandoah, TX and is specialized in Plastic and Reconstructive Surgery. Gordley Plastic Surgery Pa practices in Shenandoah, TX. The NPI Number for Gordley Plastic Surgery Pa is 1083885891 and holds a License No. M7222 (Texas).

The current practice location address for Gordley Plastic Surgery Pa is 129 Vision Park Blvd Ste 210, Shenandoah, TX and can be reached out via phone at 832-813-5839 and via fax at 832-813-8512.

Location: 129 Vision Park Blvd Ste 210, Shenandoah, TX, 77384-3024
institution
Provider Profile Details
NPI Number
1083885891
Provider Name
Gordley Plastic Surgery Pa
Credential
Provider Entity Type
Organization
Address
129 Vision Park Blvd Ste 210, Shenandoah, TX, 77384-3024
Phone Number
832-813-5839
Fax Number
832-813-8512
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DP0233 01 TX RR MC PIN
336661901 05 TX
institution
Provider Business Practice Location Address Details
Address
129 Vision Park Blvd Ste 210
City
State
Zip
77384-3024
Phone Number
832-813-5839
Fax Number
832-813-8512
person
Provider Business Mailing Address Details
Address
129 Vision Park Blvd Ste 210
City
State
Zip
77384-3024
Phone Number
832-813-5839
Fax Number
832-813-8512
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
M7222 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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