Individual
SHERRY ALEXIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 CITY POINT DR, SUITE 201, NORTH RICHLAND HILLS, TX 76180-8380
(817) 784-8268
(817) 590-2285
Mailing address
4300 CITY POINT DR, SUITE 201, NORTH RICHLAND HILLS, TX 76180-8380
(817) 784-8268
(817) 590-2285
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M1715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173501101
—
TX
05
—
173501102
—
TX
05
—
173501103
—
TX
01
—
173501104
MEDICAID OTHER
TX
05
—
173501105
—
TX
Enumeration date
09/26/2005
Last updated
11/21/2016
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