Abigail Annette Gordon
Ophthalmology in Dallas, TX. Individual provider (NPI-1).
NPI number1083175558
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1083175558
- Entity type
- Individual (NPI-1)
- Name
- Abigail Annette Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2019
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | U3855 | TX | Yes |
| 207R00000X | Internal Medicine | 125.073922 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 214-648-3111
Mailing address
Po Box 845347Dallas, TX 75284-5347
Phone 214-648-3848
Other practice locations
2650 Ridge Ave., Suite 1304
Evanston, IL 60201
Evanston, IL 60201
Phone 847-570-4789
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