Provider Demographics
| NPI: | 1003967993 |
|---|---|
| Name: | SAUER, GORDON CHENOWETH JR (PHD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | GORDON |
| Middle Name: | CHENOWETH |
| Last Name: | SAUER |
| Suffix: | JR |
| Gender: | M |
| Credentials: | PHD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 3200 N MACARTHUR BLVD |
| Mailing Address - Street 2: | SUITE 101 |
| Mailing Address - City: | IRVING |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75062-4453 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 972-867-2497 |
| Mailing Address - Fax: | 972-867-2497 |
| Practice Address - Street 1: | 3200 N MACARTHUR BLVD |
| Practice Address - Street 2: | SUITE 101 |
| Practice Address - City: | IRVING |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75062-4453 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 972-867-2497 |
| Practice Address - Fax: | 972-867-2497 |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2007-01-16 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 22998 | 103G00000X, 103T00000X, 103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TF0200X, 103TH0100X, 103TM1800X, 103TP2701X, 103TR0400X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
| No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic |
| No | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service |
| No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 00A52L | Other | BCBS |
