Individual
MRS. AMANDA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
19272 STONE OAK PKWY STE 101, SAN ANTONIO, TX 78258-3372
(210) 265-8851
Mailing address
9413 BLAZING STAR TRL, GARDEN RIDGE, TX 78266-2313
(512) 367-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP139802
TX
Other
Enumeration date
11/21/2018
Last updated
01/15/2021
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