MR. MARK A GORDON (PA) – Physician Assistant, NPI 1750409629
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2016-12-20. Reason: License revocation, suspension, or surrender.
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. MARK A GORDON (PA)
619 ROLLING BROOK DR
#211
BAYTOWN, TX 77521
Phone: (817) 506-0580
Type: Mailing
13601 WOOD FOREST BLVD
HOUSTON, TX 77015
Phone: (713) 330-4325
Fax: (713) 330-1910
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77521)
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