Individual
DR. JORDAN ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, MS
Contact information
Practice address
1600 W COLLEGE ST STE 100, GRAPEVINE, TX 76051-3575
(817) 421-0505
(817) 421-6060
Mailing address
3155 STARS AND STRIPES WAY APT 471, GRAPEVINE, TX 76051-1520
(402) 881-1522
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
3012
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3988
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
01/03/2022
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