Individual
DR. HEIDI ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1631 LANCASTER, SUITE 150, GRAPEVINE, TX 76051
(817) 251-9080
(817) 251-9082
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K3595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166358503
—
TX
05
—
166358505
—
TX
01
—
900126202
RAILROAD MEDICARE
TX
Enumeration date
03/22/2006
Last updated
09/30/2021
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