Individual
GORDON E NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOC-P, LOA
Contact information
Practice address
1401 W MAGNOLIA AVE, FORT WORTH, TX 76104-4250
(817) 923-2101
Mailing address
1401 W MAGNOLIA AVE, FORT WORTH, TX 76104-4250
(817) 923-2101
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
510
TX
225000000X
Orthotic Fitter
1144
TX
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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