| Organization Name: | JORDAN'S PLACE PEDIATRICS, PA |
| NPI Number: | 1245419431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRI STONE BARCLAY (PHYSICAN) |
| Mailing Address: | 1317 N Hillcrest Dr Sulphur Springs |
| State: | TX US |
| Postal Code: | 754822091 |
| Phone Number: | 9034381110 |
| Fax Number: | 9034381107 |
| NPI Enumeration Date: | 10/24/2007 |
| NPI Last Update Date: | 10/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | K7145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |