# ANDREWS COUNTY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861488694
- **Authorized official:** GORDON MATTIMOE DNP, APRN, FNP-C (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (432) 524-1434

## Contact information

- **Practice address:** 208 NW 2ND ST, ANDREWS, TX 79714-6308
- **Practice address phone:** (432) 524-1434
- **Practice address fax:** (432) 524-1461
- **Mailing address:** 208 NW 2ND ST, ANDREWS, TX 79714-6308
- **Mailing address phone:** (432) 524-1434
- **Mailing address fax:** (432) 524-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 10/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 017486401 | — | TX |
| 05 | — | 063303402 | — | TX |
| 05 | — | 094701201 | — | TX |
| 05 | — | 094701202 | — | TX |
| 05 | — | 094701203 | — | TX |