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Kyle Gordon
NPI 1700381738 · on the registry since 2018
Practice
- Address
- 901 E Palm Valley Blvd
Round Rock, TX 78664 - Phone
- (512) 248-8742
- Fax
- (512) 248-8751
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2409 University Ave, Austin, TX
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas