Dr. Steven Lars Gordon
Plastic and Reconstructive Surgery
17183 I 45 S Ste 390
Shenandoah
, Texas 77385-3313
Dr. Steven Lars Gordon
Plastic and Reconstructive Surgery
17183 I 45 S Ste 390
Shenandoah
, Texas 77385-3313
(936) 270-3680
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Steven Lars Gordon
- 17183 I 45 S Ste 390
- Shenandoah, TX
- Zip : 77385-3313
- Phone : (936) 270-3680
Second Address
- Dr. Steven Lars Gordon
- 17183 I 45 S Ste 390
- Shenandoah, TX
- Zip : 77385-3313
- Phone : (936) 270-3680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | Q8066 | TX |
National Provider Identifier
| NPI | 1235450586 |
|---|---|
| Provider Name | Dr. Steven Lars Gordon |
| First Address | Shenandoah, TX 77385-3313 |
| Second Address | Shenandoah, TX 77385-3313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2010 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.