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Organization

JORDAN ASHA, PLLC

Active
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Organization

JORDAN ASHA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ORTIZ (OFFICE MANAGER)
(832) 328-3077
Entity
Organization

Contact information

Practice address
11595 S WILCREST DR, HOUSTON, TX 77099-4752
(832) 328-3077
(832) 328-3081
Mailing address
11595 S WILCREST DR, HOUSTON, TX 77099-4752
(832) 328-3077
(832) 328-3081

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G7248
TX
207QA0000X
Adolescent Medicine (Family Medicine) Physician
G7248
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G7248
TX
207R00000X
Internal Medicine Physician
Primary
G7248
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163100401
—
TX
05
—
163100402
—
TX
Enumeration date
05/09/2007
Last updated
11/22/2010
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