Gordon Briscoe, DNP | |
12702 Toepperwein Rd Ste 123, Live Oak, TX 78233-3278 | |
(210) 934-4100 | |
(210) 558-1801 |
Full Name | Gordon Briscoe |
---|---|
Gender | Male |
Speciality | Clinical Nurse Specialist - Gerontology |
Location | 12702 Toepperwein Rd Ste 123, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326771080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SG0600X | Clinical Nurse Specialist - Gerontology | 663063 (Texas) | Primary |
Entity Name | Legacy Heartcare Of Dallas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144520503 PECOS PAC ID: 6305029653 Enrollment ID: O20110323000595 |
Entity Name | Legacy Heart Care Of Fort Worth, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730120908 PECOS PAC ID: 2860677341 Enrollment ID: O20110427000208 |
Entity Name | Legacy Heart Care Of San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285057935 PECOS PAC ID: 9830316645 Enrollment ID: O20140818002280 |
Entity Name | Legacy Heart Care Of South Austin, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
Entity Name | Legacy Heart Care Of Midtown Austin, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356869804 PECOS PAC ID: 3577829886 Enrollment ID: O20171102000107 |
Entity Name | Legacy Heart Care Of Grand Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174252837 PECOS PAC ID: 9638549884 Enrollment ID: O20230104000019 |
Entity Name | Legacy Heart Care Of North Dallas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265150205 PECOS PAC ID: 9931571544 Enrollment ID: O20230208001060 |
Mailing Address | Practice Location Address |
---|---|
Gordon Briscoe, DNP 12702 Toepperwein Rd Ste 123, Live Oak, TX 78233-3278 Ph: (210) 934-4100 | Gordon Briscoe, DNP 12702 Toepperwein Rd Ste 123, Live Oak, TX 78233-3278 Ph: (210) 934-4100 |