Individual
DR. CORINNE NICOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 614-8740
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101017162
MI
207V00000X
Obstetrics & Gynecology Physician
OS11306
FL
207VX0201X
Gynecologic Oncology Physician
Primary
Q1836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349441102
—
TX
01
—
P01547630
RAILROAD MEDICARE
TX
Enumeration date
06/25/2007
Last updated
05/17/2024
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