Individual
ERIC A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6451 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3200
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 24244, FORT WORTH, TX 76124-1244
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10629
TX
Other
Enumeration date
04/27/2016
Last updated
04/15/2020
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