Charles R Gordon MD PA

Organization Active
NPI 1982717955
Neurological Surgery Physician Tyler, TX

Charles R Gordon MD PA holds NPI 1982717955, with a primary taxonomy of neurological surgery physician and a practice location in Tyler, TX. The number was issued on August 16, 2006 and the NPPES record was last updated on March 10, 2020. The record lists 5 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X Not listed
Pain Medicine (Anesthesiology) Physician 207LP2900X Not listed
Pain Medicine Physician 208VP0000X Not listed
Physician Assistant 363A00000X Not listed
Nurse Practitioner 363L00000X Not listed

Practice location

2737 S Broadway Ave Ste 200
Tyler, TX 75701-5445
Phone: (903) 592-6000

Local context

Active NPPES records list 16 providers with neurological surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 969 in Texas and 11,992 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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