Individual
JORDAN RAY ILSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E. 6TH AVENUE, BELTON, TX 76513-2810
(254) 778-5400
(254) 778-5444
Mailing address
1300 EAST 6TH AVE, BELTON, TX 76513
(254) 778-5400
(254) 778-5444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N8307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8307
TX LICENSE
TX
Enumeration date
06/04/2008
Last updated
08/04/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us