Individual
JESSICA BUECHNER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
2310 MAIN ST, APT. #435, HOUSTON, TX 77002-9146
(678) 538-8854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
#908084
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132488
TX
Other
Enumeration date
11/08/2016
Last updated
01/17/2017
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