| Gordon And Parker, Llp | |
|
610 Strickland Dr Suite 340 Orange TX 77630-4786 | |
| (409) 670-0044 | |
| (409) 670-0007 |
| Full Name | Gordon And Parker, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Strickland Dr, Orange, Texas |
| Authorized Official Name and Position | Calvin R Parker (PARTNER) |
| Authorized Official Contact | 4096700044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon And Parker, Llp 610 Strickland Dr Suite 340 Orange TX 77630-4786 Ph: (409) 670-0044 | Gordon And Parker, Llp 610 Strickland Dr Suite 340 Orange TX 77630-4786 Ph: (409) 670-0044 |
| NPI Number | 1992873368 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 3577690924 |
|---|---|
| Medicare Enrollment ID | O20100416000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992873368 | NPI | - | NPPES |
| 079939701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Calvin Rawles Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881604882 PECOS PAC ID: 8921135377 Enrollment ID: I20100525001020 |
| Provider Name | Victoria Juda Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972514461 PECOS PAC ID: 9234170523 Enrollment ID: I20100811000394 |
| Provider Name | Glenda A Wilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861650574 PECOS PAC ID: 2466632583 Enrollment ID: I20110207000914 |
| Provider Name | Edwina Y Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063765451 PECOS PAC ID: 6204089170 Enrollment ID: I20130102000208 |
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