Jonathan D Gorman, RN, RNFA
Registered Nurse, Registered Nurse First Assistant in Irving, TX. Individual provider (NPI-1).
NPI number1649931940
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1649931940
- Entity type
- Individual (NPI-1)
- Name
- Jonathan D Gorman
- Credential
- RN, RNFA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2022
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 900933 | TX | Yes |
| 207X00000X | Orthopaedic Surgery | 900933 | TX |
Practice location
5222 Baker BlvdIrving, TX 75039-0001
Phone 214-227-2457 · Fax 214-764-0880
Mailing address
Po Box 2550Rowlett, TX 75030-2550
Phone 214-227-2457 · Fax 214-764-0880
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