Individual
DR. WILLIAM EDWARD GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4193
(682) 885-4956
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M5192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185355804
—
TX
01
—
185355805
CSHCN
TX
Enumeration date
12/20/2006
Last updated
04/04/2012
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