Individual
JORDAN FRED WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3306 FANNIN ST, HOUSTON, TX 77004-2904
(713) 522-1788
(713) 522-9177
Mailing address
3306 FANNIN ST, HOUSTON, TX 77004-2904
(713) 522-1788
(713) 522-9177
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E7326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033862601
—
TX
Enumeration date
06/02/2005
Last updated
08/28/2017
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