Samuel Lance Gordon, DC | |
4101 Us Highway 77, M-5, Corpus Christi, TX 78410-4542 | |
(361) 241-7451 | |
Not Available |
Full Name | Samuel Lance Gordon |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 14 Years |
Location | 4101 Us Highway 77, Corpus Christi, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508160334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 11644 (Texas) | Primary |
Provider Name | Samuel L Gordon Professional Limited Liability Company |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912346354 PECOS PAC ID: 3173753217 Enrollment ID: O20140311000742 |
Mailing Address | Practice Location Address |
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Samuel Lance Gordon, DC 4101 Ih 69 Access Rd, M-5, Corpus Christi, TX 78410-4542 Ph: (361) 241-7451 | Samuel Lance Gordon, DC 4101 Us Highway 77, M-5, Corpus Christi, TX 78410-4542 Ph: (361) 241-7451 |
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