Mattimoe, Gordon Patrick

Mattimoe, Gordon Patrick is an sole proprietor health care provider with primary practice located at 208 Nw 2Nd St , Andrews TX 79714-6308. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mattimoe, Gordon Patrick can be contacted via phone (432) 524-1441.

Contact Information

Primary practice address
208 Nw 2Nd St Andrews TX 79714-6308
Fax: (432) 524-1461
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 709909 Texas

Profile Details

NPI number 1497007116
LBN Legal business name Mattimoe, Gordon Patrick
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2012
Last updated Oct 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.

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