Individual
CHRISTOPHER BLAKE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 DESHONG DR, PARIS, TX 75460-9313
(903) 495-2008
Mailing address
865 DESHONG DR, PARIS, TX 75460-9313
(903) 737-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1088011
TX
363LF0000X
Family Nurse Practitioner
1088011
TX
Other
Enumeration date
08/14/2022
Last updated
11/29/2022
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