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Individual

CALEB LEE JORDAN

Active
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Individual

CALEB LEE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2026-01739
NC
2084P0800X
Psychiatry Physician
DR.0073253
CO
2084P0800X
Psychiatry Physician
R4249
TX
2084P0800X
Psychiatry Physician
Primary
T286174
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377395425
TX
Enumeration date
03/24/2015
Last updated
08/10/2026
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