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Contact Information

MICHAEL L GORDON, DPM
17215 RED OAK DR
SUITE 102
HOUSTON, TX77090-2697
 Phone: 281-444-4114
 Fax: 281-444-7789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL L GORDON · (Male)

NPI # 1073541819
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/29/2006
Last updated 12/11/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1487
  • TX License # TX1487
  • TX Medicaid 043773302
  • TX Other 4344700001 PALMETTO GBA
  • TX Other 480033891 RAILROAD MEDICARE
Hospital affiliation(s)
  • HOUSTON NORTHWEST MEDICAL CENTER - (Acute Care)
    710 FM 1960 WEST
    HOUSTON, TX 77090
  • MEMORIAL HERMANN HOSPITAL SYSTEM - (Acute Care)
    1635 NORTH LOOP WEST
    HOUSTON, TX 77008
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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