Wayne H. Gordon, MD
Psychiatry & Neurology, Neurology in San Antonio, TX. Organization (NPI-2).
Details
- NPI
- 1043432008
- Entity type
- Organization (NPI-2)
- Legal business name
- Wayne H. Gordon, MD
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
14607 San Pedro Ave Ste 220San Antonio, TX 78232-4356
Phone 281-295-4208 · Fax 281-295-4065
Mailing address
14607 San Pedro Ave Ste 220San Antonio, TX 78232-4356
Phone 281-295-4208 · Fax 281-295-4065
Other practice locations
San Antonio, TX 78248-0993
Phone 210-775-0390 · Fax 800-706-7601
Authorized official
Maureen Ann Craven
Edi Coordinator
2812954208
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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