Individual provider · NPI-1
Shirley Gordon, RRT
Respiratory Therapist, Registered · Fort Worth, TX
NPI number1811726375
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1811726375
- Entity type
- Individual (NPI-1)
- Name
- Shirley Gordon
- Credential
- RRT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227900000X | Respiratory Therapist, Registered | RCP00066728 | TX | Yes |
| 2279G1100X | Respiratory Therapist, Registered, General Care | RCP00066728 | TX |
Practice location
2201 Se Loop 820Fort Worth, TX 76119-5863
Phone 817-730-1000
Mailing address
4445 Corner Brook LnFort Worth, TX 76123-2733
Phone 817-919-1608
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