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1881049898
ERIC A GORDON
FORT WORTH, TX
NPI
1881049898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10629)
Enumeration Date
2016-04-27
Last Update Date
2020-04-15
Business Address
ERIC A GORDON
6451 BRENTWOOD STAIR RD
FORT WORTH, TX 76112-3200
Phone number: 817-451-4208
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Mailing Address
ERIC A GORDON
PO BOX 24244
FORT WORTH, TX 76124-1244
Phone number: 817-451-4208
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