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Mrs. Brooke Leann Jordan, DO
Family Medicine Physician in Fort Worth, Texas
NPI 1639513294

Brooke Leann Jordan is a Family Medicine Physician based in Fort Worth, TX. Brooke Leann Jordan practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Brooke Leann Jordan is 1639513294 and holds a License No. 573164 (Texas).

The current practice location address for Brooke Leann Jordan is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-3431.

Location: 1500 S Main St, Fort Worth, TX, 76107-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639513294
Provider Name
Brooke Leann Jordan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1500 S Main St, Fort Worth, TX, 76107-1810
Phone Number
817-702-3431
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q8521 01 TX MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-3431
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-3431
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
Q8521 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
573164 (Texas)
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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