Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
W GORDON EILAND, PT SCS ATC
Active Sole ProprietorW GORDON EILAND, PT SCS ATC is a Environmental Modification (OT) healthcare provider located in TYLER, Texas. NPI 1376582973 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · TYLER, TX
Registration Details
- NPI Number
- 1376582973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.200313650946 yrs)
- Last Updated
- Jul 1, 2011
- Licenses
-
1057388 (TX)AT1193 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5407 NEW COPELAND RDTYLER, TX, 75703Browse TX providers · Browse ZIP 75703
- Phone
- 9037805886
- Fax
- 9035312241
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.