Individual
JORDAN RENAE HOWELL COSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
831 BLUE OAK DR, LEWISVILLE, TX 75067-6228
(469) 733-7424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10074338
TX
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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