Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTT S GORDON, PA
ActiveMR. SCOTT S GORDON, PA is a Physician Assistant healthcare provider located in FRITCH, Texas. NPI 1306003058 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FRITCH, TX
Registration Details
- NPI Number
- 1306003058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2008 (18.282213991464 yrs)
- Last Updated
- Jun 13, 2008
- License
-
PA01597 (TX)
Practice Information
- Address
-
700 WEST BROADWAYFRITCH, TX, 790361570Browse TX providers · Browse ZIP 79036
- Phone
- 8068572311
- Fax
- 8068579362
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.