Individual
MRS. ABIGAIL L JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
01/16/2015
Last updated
03/05/2015
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