institution
Jordan's Place Pediatrics, Pa
Primary Care Clinic/Center in Sulphur Springs, Texas
NPI 1245419431

Jordan's Place Pediatrics, Pa is a Primary Care Clinic/Center based in Sulphur Springs, TX and is specialized in Primary Care. Jordan's Place Pediatrics, Pa practices in Sulphur Springs, TX. The NPI Number for Jordan's Place Pediatrics, Pa is 1245419431 and holds a License No. K7145 (Texas).

The current practice location address for Jordan's Place Pediatrics, Pa is 1317 N Hillcrest Dr, Sulphur Springs, TX and can be reached out via phone at 903-438-1110 and via fax at 903-438-1107.

Location: 1317 N Hillcrest Dr, Sulphur Springs, TX, 75482-2091
institution
Provider Profile Details
NPI Number
1245419431
Provider Name
Jordan's Place Pediatrics, Pa
Credential
Provider Entity Type
Organization
Address
1317 N Hillcrest Dr, Sulphur Springs, TX, 75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8C0310 01 TX BCBS INDVL
150000102 05 TX
0069GW 01 TX BCBS GROUP
1154381259 01 TX NPI INDVL
150000101 05 TX
institution
Provider Business Practice Location Address Details
Address
1317 N Hillcrest Dr
City
State
Zip
75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
person
Provider Business Mailing Address Details
Address
1317 N Hillcrest Dr
City
State
Zip
75482-2091
Phone Number
903-438-1110
Fax Number
903-438-1107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
K7145 (Texas)
Definition
Definition to come...
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