William Edward Gordon in Fort Worth - Pediatric Critical Care Medicine

William Edward Gordon - NPI 1588728182

William Edward Gordon is a Pediatric Critical Care Medicine in Fort Worth, Texas. William Edward Gordon practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for William Edward Gordon is 1588728182. The last update date is 2012-04-04.

William Edward Gordon's current location address is 801 7th Ave, Fort Worth, Texas. You can contact this provider via phone number 6828854193 and fax number 6828854956. The mailing address for William Edward Gordon is 801 7th Ave, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name William Edward Gordon
Address 801 7th Ave, Fort Worth, Texas
Phone Number 6828854193
Fax Number 6828854956
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588728182
Provider Enumeration Date 2006-12-20
Last Updated Date 2012-04-04

Provider Mailing Address Detail

Address 801 7th Ave
City Fort Worth
State Texas (TX)
Post Code 761042733
Phone Number 6828854193
Fax Number 6828854956

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No M5192
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
185355805 TX CSHCN
185355804 TX --

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FAQs about William Edward Gordon

What is the unique 10-digit identification code assigned to William Edward Gordon by the Centers for Medicare & Medicaid Services?

The William Edward Gordon has been issued the NPI (National Provider Identifier) 1588728182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where William Edward Gordon is geographically located?

The William Edward Gordon is physically situated at the following location: 801 7Th Ave, Fort Worth, TX, 761042733.

What is the William Edward Gordon's specialty and taxonomy code?

The William Edward Gordon's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.

On what date did the Centers for Medicare & Medicaid Services issue the 1588728182 to William Edward Gordon?

The William Edward Gordon received its 1588728182 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date were the details pertaining to William Edward Gordon last refreshed?

The information related to the William Edward Gordon, including its address, specialty, and other relevant details, was last updated on 2012-04-04.

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