Individual
JORDAN THOMAS TRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 MEDICAL CENTER RD, FORT CAVAZOS, TX 76544-5060
(254) 553-0702
Mailing address
3551 ROGER BROOKE DRIVE, MCHE-QD (CREDS), BROOKE ARMY MEDICAL CENTER, JBSA-FORT SAM HOUSTON, TX 78234-4504
(210) 916-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259791
VA
208M00000X
Hospitalist Physician
Primary
0101259791
VA
Other
Enumeration date
05/12/2014
Last updated
08/21/2024
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