Individual
JORDAN MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
Mailing address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18970
TX
Other
Enumeration date
11/16/2017
Last updated
04/01/2025
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