NPIMap

Organization Active NPI

Verley Gordon M.D., P.a.

  • Clinic/Center
  • Mission, TX
National Provider Identifier
1386169936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
J9062 Issued in TX
Legal business name
VERLEY GORDON M.D., P.A.
Practice address
5711 N la Homa Rd Ste B
Mission, TX 78574-5776
Phone
(956) 424-9050
Fax
(959) 424-0951
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Verley Gordon, MDNPI 1528172665
Title
MD / Owner
Phone
(956) 424-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X J9062 TX Primary

Addresses

Primary practice location

5711 N la Homa Rd Ste B
Mission, TX 78574-5776

Mailing address

5711 N la Homa Rd Ste B
Mission, TX 78574-5776
Phone (956) 424-9050

National Provider Directory

National Provider Directory

Locations

5711 N La Homa Rd
Ste B
Mission, TX 78574
Phone (956) 424-9050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386169936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 N LA HOMA RD STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785745776",
            "telephone_number": "956-424-9050",
            "fax_number": "959-424-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 N LA HOMA RD STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785745776",
            "telephone_number": "956-424-9050",
            "fax_number": "959-424-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERLEY GORDON M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "VERLEY",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "956-424-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J9062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.