Individual provider · Type 1 NPI

Wendy Michelle Gordon, LSA

Specialist · Texarkana, TX

NPI number 1528079068 Active

Practice location

2600 Saint Michael Dr
Texarkana, TX 75503-2372

Call (903) 614-1000 Map

Mailing address

5403 Woodline Dr
Texarkana, AR 71854-9236

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XSA00281 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1528079068

Wendy Michelle Gordon, LSA's National Provider Identifier is 1528079068, issued on Aug 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Texarkana, TX. The record was last updated on Jul 8, 2007.