NPI 1083885891

Gordley Plastic Surgery PA

Organisation Plastic and Reconstructive Surgery Physician Shenandoah, TX

Practice location

Address: 129 Vision Park Blvd STE 210, Shenandoah, TX 77384-3024
Phone: (832) 813-5839
Fax: (832) 813-8512

Authorised official

Name: Kyle Patrick Gordley
Title: M.D./Owner
Phone: (832) 813-5839

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence M7222 (TX)

Other Surgery providers in Texas →

Registry record

NPI: 1083885891
Entity type: Organization
NPI issued: 19 Mar 2008
Record last updated: 11 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.