Dakeya V Jordan DO

NPI 1124257431 - Family Medicine - 207Q00000X

NPI Details
NPI 1124257431
Gender Female
Enumeration Date 07/08/2009
Last Updated 03/02/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
855 MONTGOMERY ST
FORT WORTH TX, 76107-2553, US
Phone (817) 735-2440
Fax
Business Location
PO BOX 99335
FORT WORTH TX, 76199-0335, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number P4465
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According to our database, Dakeya V Jordan DO NPI is 1124257431, taxonomy code is 207Q00000X and license number is P4465, license state is located at Texas. Dakeya V Jordan DO physically located at 855 Montgomery St, Fort Worth TX, 76107-2553. NPI Number Dakeya V Jordan DO has the Individual type.

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1124257431 NPI number is provided on an as is basis without warranty of any kind. 1124257431 is maintained by the National Plan & Provider Enumeration System. The contents of Dakeya V Jordan DO are for informational purposes only.