Individual
DANICA A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2005 FORT WORTH HWY STE 200, WEATHERFORD, TX 76086-4781
(817) 598-5620
(817) 598-5621
Mailing address
2005 FORT WORTH HWY STE 200, WEATHERFORD, TX 76086-4781
(817) 598-5620
(817) 598-5621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101017481
MI
207Q00000X
Family Medicine Physician
Primary
P2012
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/25/2007
Last updated
05/20/2021
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