Gordon, Kevin R

Gordon, Kevin R is an individual health care provider with primary practice located at 3201 Matlock Rd Ste 350 , Arlington TX 76015-2954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gordon, Kevin R can be contacted via phone (817) 468-3255.

Contact Information

Primary practice address
3201 Matlock Rd Ste 350 Arlington TX 76015-2954
Phone: (817) 468-3255
Fax: (817) 468-7823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L1868 Texas

Profile Details

NPI number 1871597666
LBN Legal business name Gordon, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 10th, 2024 - about 9 months 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 1871597666 NPPES
Texas MEDICAID 147253202

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