Gordon Patrick Mattimoe, FNP-C | |
208 Nw 2nd St, Andrews, TX 79714-6308 | |
(432) 524-1441 | |
(432) 524-1461 |
Full Name | Gordon Patrick Mattimoe |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 208 Nw 2nd St, Andrews, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497007116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 709909 (Texas) | Primary |
Entity Name | Odessa Physician Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398364 PECOS PAC ID: 8426940115 Enrollment ID: O20040326001291 |
Entity Name | Andrews County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861488694 PECOS PAC ID: 0840241030 Enrollment ID: O20050204000348 |
Mailing Address | Practice Location Address |
---|---|
Gordon Patrick Mattimoe, FNP-C 8228 San Antonio St, Odessa, TX 79765-8527 Ph: (432) 524-1441 | Gordon Patrick Mattimoe, FNP-C 208 Nw 2nd St, Andrews, TX 79714-6308 Ph: (432) 524-1441 |
Eliana Kelley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Hospital Dr, Andrews, TX 79714 Phone: 432-523-6624 Fax: 432-524-1129 | |
Peggy Thurston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Hospital Dr, Andrews, TX 79714 Phone: 432-523-6624 Fax: 432-524-1138 | |
Natalie Sanchez Suchil, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Nw 2nd St, Andrews, TX 79714 Phone: 432-208-4666 | |
Christopher Alan Stansell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1411 N Main St, Andrews, TX 79714 Phone: 432-464-2586 Fax: 432-523-9013 | |
Bailey Nicole Waldrop, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Hospital Dr, Andrews, TX 79714 Phone: 432-523-6624 | |
Dorothy Faye Jackson, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 Nw 2nd St, Andrews, TX 79714 Phone: 432-524-1434 |