Provider Demographics
NPI:1801279575
Name:GORDON, RACHEL FRITSCHE (PA-C)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:FRITSCHE
Last Name:GORDON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LAUREN
Other - Last Name:FRITSCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4300 DUNLAVY ST
Mailing Address - Street 2:APT #4137
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5401
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-8875
Practice Address - Street 1:NORTHWEST HEALTH URGENT CARE-SILOAM SPRINGS
Practice Address - Street 2:3721 US-412
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761
Practice Address - Country:US
Practice Address - Phone:479-215-3080
Practice Address - Fax:713-794-8875
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical