person
Mrs. Wendy Michelle Gordon, LSA
Specialist in Texarkana, Texas
NPI 1528079068

Wendy Michelle Gordon is a Specialist based in Texarkana, TX. Wendy Michelle Gordon practices in Texarkana, TX and has the professional credentials of LSA. The NPI Number for Wendy Michelle Gordon is 1528079068 and holds a License No. SA00281 (Texas).

The current practice location address for Wendy Michelle Gordon is 2600 Saint Michael Dr, Texarkana, TX and can be reached out via phone at 903-614-1000.

Location: 2600 Saint Michael Dr, Texarkana, TX, 71854-9236
person
Provider Profile Details
NPI Number
1528079068
Provider Name
Wendy Michelle Gordon
Credential
LSA
Provider Entity Type
Individual
Gender
Female
Address
2600 Saint Michael Dr, Texarkana, TX, 71854-9236
Phone Number
903-614-1000
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0055FL 01 TX BC/BS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2600 Saint Michael Dr
City
State
Zip
75503-2372
Phone Number
903-614-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Saint Michael Dr
City
State
Zip
75503-2372
Phone Number
903-614-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
SA00281 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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