Mr James Morris Gordon, FNP-C | |
1000 S. Becham, Tyler, TX 75701 | |
(903) 590-5611 | |
(903) 535-6884 |
Full Name | Mr James Morris Gordon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1000 S. Becham, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134121866 | NPI | - | NPPES |
GPZ000089K4 | Medicaid | TX | |
443136 | Other | TX | RN/FNP STATE LICENSE |
RN036648 APO4171 | Other | LA | NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 443136 (Texas) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Mailing Address | Practice Location Address |
---|---|
Mr James Morris Gordon, FNP-C 3215 Harwood Dr, Tyler, TX 75701-7642 Ph: (903) 780-5871 | Mr James Morris Gordon, FNP-C 1000 S. Becham, Tyler, TX 75701 Ph: (903) 590-5611 |
Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995 | |
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218 | |
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799 | |
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052 | |
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080 | |
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211 |