| Elizabeth A Gordon, MD | |
|
146 E Hospital Dr Ste 106, Angleton, TX 77515-4170 | |
| (979) 864-3034 | |
| Not Available |
| Full Name | Elizabeth A Gordon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 146 E Hospital Dr Ste 106, Angleton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265436984 | NPI | - | NPPES |
| 104650006 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K4070 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Gordon, MD Po Box 650859, Dept 710, Dallas, TX 75265 Ph: (409) 772-2222 | Elizabeth A Gordon, MD 146 E Hospital Dr Ste 106, Angleton, TX 77515-4170 Ph: (979) 864-3034 |
Hou-teh Lu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 146 E Hospital Dr, Ste 105, Angleton, TX 77515 Phone: 979-849-2381 Fax: 979-849-0665 | |
Dr. Aisha Shenawi Jamal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 106, Angleton, TX 77515 Phone: 979-864-3034 Fax: 979-864-3054 | |
Edward L Chang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 146 E Hospital Dr Ste 105, Angleton, TX 77515 Phone: 979-849-2381 Fax: 979-849-0665 |