Individual
DR. JORDAN HEATH GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DRIVE, MCHE/ME, JBSA FORT SAM HOUSTON, TX 78234
(210) 916-0808
Mailing address
3551 ROGER BROOKE DRIVE, MCHE/ME, JBSA FORT SAM HOUSTON, TX 78234
(210) 916-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019032244
MO
208D00000X
General Practice Physician
0101261725
VA
Other
Enumeration date
05/22/2015
Last updated
09/05/2019
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