Individual
RICHARD RAY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1017 S TRAVIS AVE, CLEVELAND, TX 77327-5152
(284) 580-9030
(281) 580-2725
Mailing address
PO BOX 73265, HOUSTON, TX 77273-3265
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G3505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-3248738
TAX ID #
TX
Enumeration date
09/08/2008
Last updated
02/18/2011
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