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Dr. Kyle Andrew Gordon
Student in an Organized Health Care Education/Training Program in Round Rock, Texas
NPI 1700381738

Kyle Andrew Gordon is a Student in an Organized Health Care Education/Training Program based in Austin, TX. Kyle Andrew Gordon practices in Round Rock, TX. The NPI Number for Kyle Andrew Gordon is 1700381738 and holds a License No. (Texas).

The current practice location address for Kyle Andrew Gordon is 901 E Palm Valley Blvd, Round Rock, TX and can be reached out via phone at 512-248-8742 and via fax at 512-248-8751.

Location: 901 E Palm Valley Blvd, Round Rock, TX, 78754-4111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700381738
Provider Name
Kyle Andrew Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 E Palm Valley Blvd, Round Rock, TX, 78754-4111
Phone Number
512-248-8742
Fax Number
512-248-8751
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 E Palm Valley Blvd
City
Round Rock
State
Texas
Zip
78664-3209
Phone Number
512-248-8742
Fax Number
512-248-8751
person
Provider Business Mailing Address Details
Address
901 E Palm Valley Blvd
City
Round Rock
State
Texas
Zip
78664-3209
Phone Number
512-248-8742
Fax Number
512-248-8751
person
Provider's Taxonomy Details 1
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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