Individual
DR. SARAH TISON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1212 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 279-1776
Mailing address
1212 MEDICAL PLAZA CT, GRANBURY, TX 76048-5653
(817) 279-1776
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N9231
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0031359
TX
Other
Enumeration date
06/25/2008
Last updated
06/17/2013
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