Provider Demographics
NPI:1487729737
Name:GORDON, RHONJEAN (FNP, BC ,ANP-BC)
Entity type:Individual
Prefix:MS
First Name:RHONJEAN
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:FNP, BC ,ANP-BC
Other - Prefix:
Other - First Name:RHONJEAN
Other - Middle Name:
Other - Last Name:LUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, BC ,ANP-BC
Mailing Address - Street 1:15818 CADENHORN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7541
Mailing Address - Country:US
Mailing Address - Phone:281-686-4469
Mailing Address - Fax:
Practice Address - Street 1:2600 S LOOP W
Practice Address - Street 2:STE 460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2653
Practice Address - Country:US
Practice Address - Phone:713-664-2228
Practice Address - Fax:713-664-2228
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677064363LA2200X, 363LF0000X, 363LP2300X, 363L00000X
LAAP05356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ77133Medicare UPIN
TX8J2902Medicare PIN