Organization
SOUTHEAST TEXAS EAR, NOSE & THROAT, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL CAREY JORDAN M.D. (PHYSICIAN)
(409) 212-8111
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4666
(409) 212-8111
(409) 981-1787
Mailing address
740 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4666
(409) 212-8111
(409) 981-1787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084884801
—
TX
Enumeration date
02/20/2006
Last updated
10/05/2020
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