Gordon, James Morris

Gordon, James Morris is an individual health care provider with primary practice located at 1000 S. Becham , Tyler TX 75701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gordon, James Morris can be contacted via phone (903) 590-5611.

Contact Information

Primary practice address
1000 S. Becham Tyler TX 75701
Phone: (903) 590-5611
Fax: (903) 535-6884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 443136 Texas

Profile Details

NPI number 1134121866
LBN Legal business name Gordon, James Morris
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134121866 NPPES
Texas MEDICAID GPZ000089K4
Texas Other 443136
Texas Other RN036648 APO4171

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