NPI 1881856060 DR. CHARLES MATTHEW JORDAN M.D. DALLAS TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Charles Matthew Jordan - NPI: 1881856060

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. CHARLES MATTHEW JORDAN
NPI Number: 1881856060
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 76358
Business Practice Address: 800 Scott And White Blvd
College Station, TX - 778405601
Business Phone Number: 9796913442
Business Fax Number:
Mailing Address: Po Box 844658,
DALLAS
State: TX
Postal Code: 752844658
Phone Number:
Fax Number:
NPI Enumeration Date: 06/27/2008
NPI Last Update Date: 09/17/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 390200000X
License Number: 76358
Healthcare Provider Taxonomy:
(Secondary)
N
State: TX
Taxonomy Type: Student, Health Care
Taxonomy Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Specialization:
Taxonomy Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.


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