PATRICIA ODOM GORDON FNP-BC NPI 1659516870

NPI Information

NPI: 1659516870
Provider Name: PATRICIA ODOM GORDON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER

PECOS Registration: Yes

Address:
5161 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-2080
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Patricia Odom Gordon, FNP-BC is a family nurse practitioner in Dallas, TX with 16 years of experience. Patricia Odom Gordon, FNP-BC NPI is 1659516870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5161 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-055
Phone: (214) 645-2080
Fax: (214) 645-2092

The NPI 1659516870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	761144	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	761144	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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