Provider Demographics
NPI:1376817932
Name:SHARRATT, GORDON PATTERSON (DO)
Entity Type:Individual
Prefix:DR
First Name:GORDON
Middle Name:PATTERSON
Last Name:SHARRATT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 ROBERTS CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76114-1039
Mailing Address - Country:US
Mailing Address - Phone:817-238-8200
Mailing Address - Fax:
Practice Address - Street 1:3605 ROBERTS CUT OFF RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76114-1039
Practice Address - Country:US
Practice Address - Phone:817-238-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3778208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice