Healey, Gordon Bruce
Healey, Gordon Bruce is an sole proprietor health care provider with primary practice located at 3180 Central Mall Dr , Port Arthur TX 77642-8039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Healey, Gordon Bruce can be contacted via phone (409) 729-6231.Contact Information
Primary practice address
3180 Central Mall Dr
Port Arthur TX 77642-8039
Phone: (409) 729-6231
Fax: (409) 727-6537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E2602 | Texas |
Profile Details
| NPI number | 1164427662 |
|---|---|
| LBN Legal business name | Healey, Gordon Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 11th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164427662 | NPPES |
| Texas | MEDICAID | 115344702 |
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