Individual provider · Type 1 NPI
Constance Gordon
Private Vehicle · La Porte, TX
NPI number
1740666379
Active
Practice location
801 W Fairmont Pkwy
La Porte, TX 77572-1329
Mailing address
PO Box 227
La Porte, TX 77572-0227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1740666379
Constance Gordon's National Provider Identifier is 1740666379, issued on Aug 5, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in La Porte, TX. The record was last updated on Aug 5, 2015.