Gordon David Elder (NPI# 1588650212, PAC ID# 3577624600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1588650212 |
| PAC ID by PECOS | 3577624600 |
| Professional Enrollment ID | I20180126000657 |
| Full Name | Gordon David Elder |
| Address |
1212 Ave J Suite 101 Lubbock TX 79401-4020 |
| Gender | M |
| Medical School | CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES |
| Graduation Year | 1999 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1212 Ave J, Suite 101, Lubbock, TX 79401-4020 |
| Street Address |
1212 AVE J SUITE 101 |
| City | LUBBOCK |
| State | TX |
| Zip | 79401-4020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Shaver | Gastroenterology | 2405 Broadway, Lubbock, TX 79401-2918 | |
| Cotton Dudley Merritt | Chiropractic | 2005 Broadway, Lubbock, TX 79401-3019 | |
| Ronald Cook | Family Medicine | 806 18th St, Lubbock, TX 79401-5200 |
| City | LUBBOCK |
| Zip Code | 79401 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LUBBOCK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Gordon David Elder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.