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Contact Information

GORDON B. STROM,JR. MD FACP
2850 LEWIS LN
STE. 111
PARIS, TX75460-9378
 Phone: 903-785-8480
 Fax: 903-785-8455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GORDON B. STROM,JR. MD FACP

NPI # 1649469933
LBN Legal business name GORDON B. STROM,JR. MD FACP
Authorized official GORDON STROM - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2007
Last updated 11/11/2008 - About 18 years ago
Identifiers
TX License # F0027
TX License # PA030704
OK Medicaid 100071470A
TX Medicaid 160367201
TX Other 00TU80 BLUE CROSS BLUE SHIELD
TX Other CK8750 MEDICARE RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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