Gordon, Phyllis
Gordon, Phyllis is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gordon, Phyllis can be contacted via phone (210) 257-1400.Contact Information
Primary practice address
4502 Medical Dr
San Antonio TX 78229-4402
Phone: (210) 257-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 243093 | Texas |
Profile Details
| NPI number | 1841307840 |
|---|---|
| LBN Legal business name | Gordon, Phyllis |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 16th, 2007 - about 18 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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