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General NPI Number Information
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NPI Number | 1528172665
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Entity Type | Individual
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Provider Name | VERLEY GORDON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 5711 N. LA HOMA RD STE. B
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City | MISSION
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State | TX
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Zip | 78574
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Country | US
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Telephone | 956-424-9050
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Fax | 956-424-9050
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Provider Business Mailing Address
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Address Line | 1700 E MILE 3 RD
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City | MISSION
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State | TX
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Zip | 78573-8302
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Country | US
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Telephone | 956-519-3166
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Fax | 956-519-3166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J-9062
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License Number State | TX
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