Individual
JORDAN GLEN MEMMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4388
(940) 764-7000
Mailing address
470 S 200 E, NEPHI, UT 84648-2110
(435) 660-6219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V9065
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
06/18/2025
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