Wendy Michelle Gordon, LSA

Specialist · Texarkana, TX

Individual Active NPI

NPI number 1528079068

Practice location

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone
(903) 614-1000

Open in Google Maps

NPI record

NPI
1528079068
Entity type
Individual (Type 1)
Enumeration date
August 10, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X SA00281 TX

Mailing address

5403 Woodline Dr
Texarkana, AR 71854-9236
Phone
(903) 293-4151

About Wendy Gordon

Wendy Michelle Gordon, LSA is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2600 Saint Michael Dr, Texarkana, TX 75503-2372. The NPI number 1528079068 was assigned on August 10, 2006 and the record was last updated on July 8, 2007.

Wendy Gordon lists a license in the registry: #SA00281 (TX) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wendy Michelle Gordon, LSA?

The NPI number is 1528079068.

What is the phone number of Wendy Gordon?

The phone number listed for the practice location is (903) 614-1000.

Where is Wendy Gordon located?

2600 Saint Michael Dr, Texarkana, TX 75503-2372.

What is the taxonomy code for Wendy Gordon?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Specialist providers in Texarkana

All Specialist providers in Texarkana, TX →