Individual provider · Type 1 NPI

Gordon Alexander Gatlin

Student in an Organized Health Care Education/Training Program · Conroe, TX

NPI number 1194401786 Active

Practice location

925 City Central Ave
Conroe, TX 77304-2981

Call (936) 202-5202 Map

Fax (936) 202-5230

Mailing address

10014 Croger Dr
Magnolia, TX 77354-2295

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194401786

Gordon Alexander Gatlin's National Provider Identifier is 1194401786, issued on Jun 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conroe, TX. The record was last updated on Jun 27, 2023.