Individual
JAXON WILLIAM JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 N 18TH ST, ABILENE, TX 79601-2932
(325) 437-3687
Mailing address
1233 N 18TH ST, ABILENE, TX 79601-2932
(325) 437-3687
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
S9534
TX
207Y00000X
Otolaryngology Physician
T-3139
MS
Other
Enumeration date
04/20/2016
Last updated
08/30/2021
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