IndividualActive
Gordon Thomas, RDN
NPI 1073393112 · Gerontological Nutrition Registered Dietitian · Canyon, TX
Provider details
- NPI number
- 1073393112
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
2102 6th Ave
Canyon, TX 79015-4006
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2023-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.