Gordon, Eric A
Gordon, Eric A is an individual health care provider with primary practice located at 6451 Brentwood Stair Rd , Fort Worth TX 76112-3200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gordon, Eric A can be contacted via phone (817) 451-4208.Contact Information
Primary practice address
6451 Brentwood Stair Rd
Fort Worth TX 76112-3200
Phone: (817) 451-4208
Fax: (817) 563-3699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10629 | Texas |
Profile Details
| NPI number | 1881049898 |
|---|---|
| LBN Legal business name | Gordon, Eric A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2016 |
| Last updated | Apr 15th, 2020 - about 5 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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