Individual
WILLIAM MCCALL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 507-4000
(970) 731-1988
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7027
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
E1345
TX
207RX0202X
Medical Oncology Physician
DR.0043185
CO
207RX0202X
Medical Oncology Physician
Primary
E1345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319550-02
—
TX
05
—
1319550-08
—
TX
05
—
131955009
—
TX
01
—
8EF216
BCBS
TX
Enumeration date
05/17/2006
Last updated
02/06/2025
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