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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1134121866 | NPPES |
| Texas | MEDICAID | GPZ000089K4 | |
| Texas | Other | 443136 | |
| Texas | Other | RN036648 APO4171 |
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