PHYLLIS GORDON NP NPI 1841307840

NPI Information

NPI: 1841307840
Provider Name: PHYLLIS GORDON, NP
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 257-1400
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Phyllis Gordon, NP is an adult health clinical nurse specialist in San Antonio, TX. Phyllis Gordon, NP NPI is 1841307840. 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:

4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-402
Phone: (210) 257-1400

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/16/2007.

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	364SA2200X	Clinical Nurse Specialist	Adult Health	243093	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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