Strom, Gordon Bertram
Strom, Gordon Bertram is an individual health care provider with primary practice located at 1055 Clarksville St Ste 195, Paris TX 75460-6097. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Strom, Gordon Bertram can be contacted via phone (903) 785-8480.Contact Information
Primary practice address
1055 Clarksville St Ste 195
Paris TX 75460-6097
Phone: (903) 785-8480
Fax: (903) 785-8455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | F0027 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F0027 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | F0027 | Texas |
Profile Details
| NPI number | 1710982319 |
|---|---|
| LBN Legal business name | Strom, Gordon Bertram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Sep 14th, 2016 - about 8 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 | 1710982319 | NPPES |
| Texas | Other | 00TU80 | MEDICARE RAILROAD |
| Texas | MEDICAID | 100280005 | MEDICARE RAILROAD |
| Texas | Other | 00TU80 | MEDICARE RAILROAD |
| Texas | MEDICAID | 100071470A | MEDICARE RAILROAD |
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