DR. Jack Charles Gordon, M.D.

NPI #1437116597 in Bedford, Texas

Provider Information

NPI Number
1437116597
Entity Type
Individual
Name
DR. Jack Charles Gordon, M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
May 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1604 HOSPITAL PKWY
Address 2
SUITE 207
State
Texas
ZIP Code
76022-6986
Phone
(817) 283-4452

Specialties & Taxonomy Codes

Specialty
Specialist

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