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Individual

DR. JEFFREY WARDE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853 SUITE 425, DALLAS, TX 75284-4908
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E6447
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32965803
TX
Enumeration date
06/29/2006
Last updated
06/30/2020
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