FALLON T GORDON MD PA NPI 1205913092

NPI Information

  • NPI: 1205913092
  • Provider Name: FALLON T GORDON MD PA
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • Other Name: CARDIOVASCULAR & THORACIC SURGICAL ASSO
  • Address: 810 HOSPITAL DRIVE
    #370
    BEAUMONT, TX
    ZIP 77701
  • Phone: (409) 835-0761

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NPI Details

FALLON T GORDON MD PA is a thoracic surgery cardiothoracic vascular surgery in Beaumont, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. FALLON T GORDON MD PA NPI is 1205913092. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cardiovascular & Thoracic Surgical Asso.

The provider's business location address is:

810 HOSPITAL DRIVE
#370
BEAUMONT, TX
ZIP 77701-657
Phone: (409) 835-0761
Fax: (409) 892-4834

The provider's authorized official is Fallon Turley Gordon .
The authorized official title is President and has the following contact phone number (409) 835-0761.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/29/2007.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100J24QMEDICARE PINTEXAS
2B87909MEDICARE UPINTEXAS

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: 11/21/2025

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