Adams, Gordon

Adams, Gordon is an individual health care provider with primary practice located at 448 Castroville Rd , San Antonio TX 78207-5147. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Adams, Gordon can be contacted via phone (210) 434-1400.

Contact Information

Primary practice address
448 Castroville Rd San Antonio TX 78207-5147
Phone: (210) 434-1400
Fax: (210) 431-7472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04305 Texas

Profile Details

NPI number 1750392270
LBN Legal business name Adams, Gordon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750392270 NPPES
Texas Other PA04305 TX PHYSICIAN ASSISTANT LICENSE
Texas MEDICAID 202218803 TX PHYSICIAN ASSISTANT LICENSE

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