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Individual

JOSEPH SANGABRIEL GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
4111 BRIARHILL CT, ARLINGTON, TX 76016-3705
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
186633
TX
246ZC0007X
Surgical Assistant

Other

Enumeration date
01/16/2021
Last updated
11/14/2023
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