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NPI Code Detail

MEDICARE: PAUL GORDON PIN

MEDICARE:   PAUL GORDON PIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianH5133TX

General Provider Information

NPI Number : 1568469484
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL GORDON PIN
Provider Business Mailing Address
First Line : 3600 GASTON AVE
Second Line : STE 410
City : DALLAS
State : TX
Zip : 75246-1804
Country : US
Telephone Number : 214-827-2530
Fax Number : 214-826-6754
Provider Business Practice Location Address
First Line : 3600 GASTON AVE
Second Line : STE 410
City : DALLAS
State : TX
Zip : 75246-1804
Country : US
Telephone Number : 214-827-2530
Fax Number : 214-826-6754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 09/07/2016

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Directions to “ PAUL GORDON PIN ” Practice Location

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