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Individual

DR. JORDAN EVAN BRENNON POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, EL PASO, TX 79906-5327
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-7777

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
30164
NE
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
V2223
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
08/15/2025
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