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Individual

MRS. JENNIFER ANN JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1130 BEACHVIEW ST, SUITE 240, DALLAS, TX 75218-3700
(214) 324-0418
(214) 324-0693
Mailing address
1130 BEACHVIEW ST, SUITE 240, DALLAS, TX 75218-3700
(214) 324-0418
(214) 324-0693

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
J9721
TX
207Y00000X
Otolaryngology Physician
Primary
J9721
TX
207YP0228X
Pediatric Otolaryngology Physician
J9721
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
J9721
TX
2086X0206X
Surgical Oncology Physician
J9721
TX

Other

Enumeration date
08/19/2005
Last updated
02/26/2014
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