NPI 1164535142

Charles R Gordon, MD

Practitioner Neurological Surgery Physician Tyler, TX

Practice location

Address: 2737 S Broadway Ave, Tyler, TX 75701-5413
Phone: (903) 592-6000
Fax: (903) 592-3224
Mailing address: PO Box 6605, Tyler, TX 75711-6605

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence H5238 (TX)

Other Neurological Surgery providers in Texas →

Registry record

NPI: 1164535142
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2006
Record last updated: 30 Jan 2019

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.