SHELLY GORDON

SOUTHLAKE, TX
NPI1366386146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1169111)
Enumeration Date2026-04-14
Last Update Date2026-06-29
Business Address
SHELLY GORDON
2010 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-6514
Phone number: 817-893-9200
Mailing Address
SHELLY GORDON
319 EDGEWOOD DR
COPPELL, TX 75019-5806
Phone number: