Individual
JORDAN BLU WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR, EMERGENCY MEDICINE UTHSCSA - KIT SMART, SAN ANTONIO, TX 78229-3901
(210) 567-1183
Mailing address
5013 STRATHMORE TER, COLLEYVILLE, TX 76034-5193
(817) 939-0352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S2696
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
05/04/2016
Last updated
08/01/2023
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