Individual
JACKSON EDWARD ORMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1521 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78404-3150
(361) 888-8271
(361) 885-3699
Mailing address
1521 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78404-3150
(361) 888-8271
(361) 885-3699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D7224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129679004
—
TX
Enumeration date
08/09/2005
Last updated
04/19/2010
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