Individual
DR. JORDAN LEE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 EDGAR BROWN DR, WEST ORANGE, TX 77630-5347
(409) 920-4470
(409) 920-4475
Mailing address
3905 PRINE LN, DEER PARK, TX 77536-2030
(541) 220-1268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10934
ND
207P00000X
Emergency Medicine Physician
26695
NE
207P00000X
Emergency Medicine Physician
58995
TN
207P00000X
Emergency Medicine Physician
61140-20
WI
207P00000X
Emergency Medicine Physician
MD16885
HI
207P00000X
Emergency Medicine Physician
MD29300
OR
207P00000X
Emergency Medicine Physician
Primary
P9153
TX
Other
Enumeration date
05/22/2007
Last updated
05/07/2019
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