Individual
SHIRLEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-1000
Mailing address
4445 CORNER BROOK LN, FORT WORTH, TX 76123-2733
(817) 919-1608
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP00066728
TX
2279G1100X
General Care Registered Respiratory Therapist
RCP00066728
TX
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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