Gordon, David H

Gordon, David H is an individual health care provider with primary practice located at 540 Madison Oak Dr Suite#200, San Antonio TX 78258-3943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, David H can be contacted via phone (210) 545-6972.

Contact Information

Primary practice address
540 Madison Oak Dr Suite#200 San Antonio TX 78258-3943
Phone: (210) 545-6972
Fax: (210) 545-1016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E9664 Texas

Profile Details

NPI number 1427079243
LBN Legal business name Gordon, David H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1427079243 NPPES
Other 4273192 AETNA PPO
Other 924685 AETNA PPO
MEDICAID 129531303 AETNA PPO
Other 830041663 AETNA PPO
Other 83Z201 AETNA PPO

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