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CHARLES R. GORDON MD PA NPI 1144694902


NPI Information

NPI: 1144694902
Provider Name: CHARLES R. GORDON MD PA

Doing Business As: PRECISION SPINE CARE

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1802 MOORES LN
TEXARKANA, TX
ZIP 75503
Phone: (903) 306-0711
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CHARLES R. GORDON MD PA is a pain medicine anesthesiology in Texarkana, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CHARLES R. GORDON MD PA NPI is 1144694902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Precision Spine Care.

The provider's business location address is:

1802 MOORES LN
TEXARKANA, TX
ZIP 75503-609
Phone: (903) 306-0711

The provider's authorized official is Charles R Gordon .
The authorized official title is Owner and has the following contact phone number (903) 363-1550.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/22/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

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: 4/28/2024

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