Individual
CARL DANIEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1191
(817) 757-1675
(817) 757-1676
Mailing address
101 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1191
(817) 757-1675
(817) 757-1676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P1774
TX
Other
Enumeration date
06/25/2007
Last updated
01/09/2020
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