Individual
C GORDON MCADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H2576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110360801
—
TX
05
—
110360804
—
TX
Enumeration date
11/02/2005
Last updated
11/13/2012
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