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Dr. Steven Lars Gordon, MD
Plastic and Reconstructive Surgery Physician in Shenandoah, Texas
NPI 1235450586

Steven Lars Gordon is a Plastic and Reconstructive Surgery Physician based in Shenandoah, TX and is specialized in Plastic and Reconstructive Surgery. Steven Lars Gordon practices in Shenandoah, TX and has the professional credentials of MD. The NPI Number for Steven Lars Gordon is 1235450586 and holds a License No. (Texas).

The current practice location address for Steven Lars Gordon is 17183 I 45 S Ste 390, Shenandoah, TX and can be reached out via phone at 936-270-3680.

Location: 17183 I 45 S Ste 390, Shenandoah, TX, 77385-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235450586
Provider Name
Steven Lars Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17183 I 45 S Ste 390, Shenandoah, TX, 77385-3313
Phone Number
936-270-3680
Fax Number
Provider Enumeration Date
06/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17183 I 45 S Ste 390
City
Shenandoah
State
Texas
Zip
77385-3313
Phone Number
936-270-3680
Fax Number
person
Provider Business Mailing Address Details
Address
17183 I 45 S Ste 390
City
Shenandoah
State
Texas
Zip
77385-3313
Phone Number
936-270-3680
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
Q8066 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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