Individual
JORDAN JAMES DORCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13411 HILLIARD ST, HOUSTON, TX 77034-5635
(757) 377-2682
Mailing address
191 EVANSTON ST, HOUSTON, TX 77015-1625
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133975
TRICARE
VA
Enumeration date
08/30/2022
Last updated
08/30/2022
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