Organization
NURSE PRACTITIONER PROVIDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONJEAN GORDON RN-FNP-BC (NURSE PRACTITIONER)
(281) 686-4469
Entity
Organization
Contact information
Practice address
2626 S LOOP W, 350, HOUSTON, TX 77054-2654
(713) 334-1003
Mailing address
16731 BETHAN GLEN LN, HOUSTON, TX 77084-2651
(281) 686-4469
(281) 858-7618
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185033102
—
TX
Enumeration date
07/20/2010
Last updated
07/20/2010
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