person
Ms. Jordan Wiseman, PA-C
Surgical Physician Assistant in Sugar Land, Texas
NPI 1144705898

Jordan Wiseman is a Surgical Physician Assistant based in Sugar Land, TX and is specialized in Surgical. Jordan Wiseman practices in Sugar Land, TX and has the professional credentials of PA-C. The NPI Number for Jordan Wiseman is 1144705898 and holds a License No. PA12258 (Texas).

The current practice location address for Jordan Wiseman is 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX and can be reached out via phone at 832-655-4141 and via fax at 713-457-5188.

Location: 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX, 77478-3540
person
Provider Profile Details
NPI Number
1144705898
Provider Name
Jordan Wiseman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX, 77478-3540
Phone Number
832-655-4141
Fax Number
713-457-5188
Provider Enumeration Date
09/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8KE886 01 TX BCBS - UNIVERSAL SURGICAL PARTNERS
8KE884 01 TX BCBS - XCITE SURGICAL
8LI002 01 TX BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
8KE885 01 TX BCBS - UNIVERSAL SURGICAL ASSISTANTS
PA12258 01 TX TEXAS MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
1 Sugar Creek Center Blvd Ste 618
City
State
Zip
77478-3540
Phone Number
832-655-4141
Fax Number
713-457-5188
person
Provider Business Mailing Address Details
Address
1 Sugar Creek Center Blvd Ste 618
City
State
Zip
77478-3540
Phone Number
832-655-4141
Fax Number
713-457-5188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA12258 (Texas)
Definition
Definition to come...
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