Individual
PHYLLIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF SURGERY, 7703 FLOYD CURL DRIVE, RM 238F.3, SAN ANTONIO, TX 78229
(210) 567-5715
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
243093
TX
Other
Enumeration date
08/24/2006
Last updated
07/16/2007
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