Individual
AMANDA RENEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
8625 E VIA DE SERENO, SCOTTSDALE, AZ 85258-3935
(214) 558-3568
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17539
NV
207P00000X
Emergency Medicine Physician
51706
AZ
207P00000X
Emergency Medicine Physician
M7882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0023737
INSTITUTIONAL PERMIT
—
Enumeration date
05/31/2007
Last updated
05/01/2025
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