Gordon Sack Md Pa

NPI 1053642777 - General Practice - 208D00000X

NPI Details
NPI 1053642777
Enumeration Date 01/20/2010
Last Updated 10/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GORDON GORDON
Position OWNER
Phone (713) 910-6464
Fax (713) 910-6995
Practice Location
3339 FAIRVIEW ST
PASADENA TX, 77504-1903, US
Phone (713) 910-6464
Fax (713) 910-6995
Business Location
3339 FAIRVIEW ST
PASADENA TX, 77504-1903, US
Phone (713) 910-6464
Fax (713) 910-6995
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Gordon Sack Md Pa NPI is 1053642777, taxonomy code is 208D00000X Gordon Sack Md Pa physically located at 3339 Fairview St, Pasadena TX, 77504-1903. NPI Number 1033115704 has the healthcare provider type.

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1053642777 NPI number is provided on an as is basis without warranty of any kind. 1053642777 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Sack Md Pa are for informational purposes only.