MRS. Wendy Michelle Gordon, LSA

NPI #1528079068 in Texarkana, Texas

Provider Information

NPI Number
1528079068
Entity Type
Individual
Name
MRS. Wendy Michelle Gordon, LSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LSA
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2600 SAINT MICHAEL DR
State
Texas
ZIP Code
75503-2372
Phone
(903) 614-1000

Specialties & Taxonomy Codes

Specialty
Specialist

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