Individual
JORDAN ALEXANDER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-6722
Mailing address
6565 FANNIN ST, HOUSTON, TX 77030-2703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-137866
IL
208M00000X
Hospitalist Physician
Primary
T5861
TX
Other
Enumeration date
06/15/2012
Last updated
03/14/2023
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