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MR. GORDON ERIC GREENTREE PHYSICIAN ASSISTANT NPI 1922123835

NPI Profile

NPI: 1922123835

Provider Name: MR. GORDON ERIC GREENTREE, PHYSICIAN ASSISTANT

Classification: Physician Assistant - 363AM0700X

Entity Type: Individual

Specialization: Medical

Address:
123 SOUTH MAIN STREET
FREER, TX
ZIP 78357

Phone: (361) 394-7311

MR. Gordon Eric Greentree, PHYSICIAN ASSISTANT is a medical physician assistant in Freer, TX. MR. Gordon Eric Greentree, PHYSICIAN ASSISTANT NPI is 1922123835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 SOUTH MAIN STREET
FREER, TX
ZIP 78357-750
Phone: (361) 394-7311
Fax: (361) 394-7158

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363AM0700X Physician Assistant Medical TXPA00041 TEXAS Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015