NPI
Joshua John Gordon
NPI 1356970727
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- CRNA
- Type
- Individual
- Enumeration date
- 2020-04-07
- Last updated
- 2020-04-07
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Specialties
Licenses
- License TX
- AP145736
Location
- Practice location
- 405 Londonderry Dr Ste 105
- City
- Waco TX
- Postal code
- 76712-7920
- Phone
- (480) 628-8528
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waco, TX. 4,198 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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