Individual provider · Type 1 NPI

Jack Charles Gordon, MD

Specialist · Bedford, TX

NPI number 1437116597 Active

Practice location

1604 Hospital Pkwy, Suite 207
Bedford, TX 76022-6986

Call (817) 283-4452 Map

Fax (817) 685-0897

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE7606 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1437116597

Jack Charles Gordon, MD's National Provider Identifier is 1437116597, issued on May 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bedford, TX. The record was last updated on Jul 13, 2026.