person
Jordan Fayth Cooke, PA-C
Surgical Physician Assistant in Tyler, Texas
NPI 1033628383

Jordan Fayth Cooke is a Surgical Physician Assistant based in Tyler, TX and is specialized in Surgical. Jordan Fayth Cooke practices in Tyler, TX and has the professional credentials of PA-C. The NPI Number for Jordan Fayth Cooke is 1033628383 and holds a License No. PA11584 (Texas).

The current practice location address for Jordan Fayth Cooke is 8101 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-939-7500 and via fax at 903-939-7728. You can also correspond with Jordan Fayth Cooke through the mailing address at 3414 GOLDEN RD, TYLER, TX - 75701-8336 (mailing address contact number: 903-939-7500).

Location: 8101 S Broadway Ave, Tyler, TX, 75701-8336
person
Provider Profile Details
NPI Number
1033628383
Provider Name
Jordan Fayth Cooke
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8101 S Broadway Ave, Tyler, TX, 75701-8336
Phone Number
903-939-7500
Fax Number
903-939-7728
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8101 S Broadway Ave
City
State
Zip
75703-5469
Phone Number
903-939-7500
Fax Number
903-939-7728
person
Provider Business Mailing Address Details
Address
8101 S Broadway Ave
City
State
Zip
75703-5469
Phone Number
903-939-7500
Fax Number
903-939-7728
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA11584 (Texas)
Definition
Definition to come...
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