Individual
MR. ALEXANDER SCOTT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2770 3RD AVE STE 120, LAKE CHARLES, LA 70601-8994
(337) 494-4868
(337) 494-4870
Mailing address
PO BOX 122342, DALLAS, TX 75312-2342
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
335456
LA
Other
Enumeration date
04/25/2023
Last updated
09/19/2024
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