Gordon, William Edward
Gordon, William Edward is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Gordon, William Edward can be contacted via phone (682) 885-4193.Contact Information
Primary practice address
801 7Th Ave
Fort Worth TX 76104-2733
Phone: (682) 885-4193
Fax: (682) 885-4956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | M5192 | Texas |
Profile Details
| NPI number | 1588728182 |
|---|---|
| LBN Legal business name | Gordon, William Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Apr 4th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588728182 | NPPES |
| Texas | Other | 185355805 | CSHCN |
| Texas | MEDICAID | 185355804 | CSHCN |
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