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Individual

MICHELLE DANA JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N0145
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1812455
LA
05
199823901
TX
01
8BK836
BLUE CROSS
TX
01
P00691064
RAILROAD MEDICARE
TX
Enumeration date
07/20/2008
Last updated
02/28/2017
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