Individual
GORDON ROWAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
2102 6TH AVE, CANYON, TX 79015-4006
(806) 382-4460
Mailing address
2102 6TH AVE, CANYON, TX 79015-4006
Taxonomy
Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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