Charles Matthew Jordan M.D.

NPI 1881856060 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1881856060
Gender Male
Enumeration Date 06/27/2008
Last Updated 09/17/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
800 SCOTT AND WHITE BLVD
COLLEGE STATION TX, 77840-5601, US
Phone (979) 691-3442
Fax
Business Location
PO BOX 844658
DALLAS TX, 75284-4658, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Texas
License Number 76358
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According to our database, Dr. Charles Matthew Jordan M.D. NPI is 1881856060, taxonomy code is 390200000X and license number is 76358, license state is located at Texas. Charles Matthew Jordan M.D. physically located at 800 Scott And White Blvd, College Station TX, 77840-5601. NPI Number Charles Matthew Jordan M.D. has the Individual type.

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1881856060 NPI number is provided on an as is basis without warranty of any kind. 1881856060 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Matthew Jordan M.D. are for informational purposes only.