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Dr. Jordan Thomas-casoglos Blough, MD
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1861885428

Jordan Thomas-casoglos Blough is a Student in an Organized Health Care Education/Training Program based in Temple, TX. Jordan Thomas-casoglos Blough practices in Temple, TX and has the professional credentials of MD. The NPI Number for Jordan Thomas-casoglos Blough is 1861885428 and holds a License No. (Texas).

The current practice location address for Jordan Thomas-casoglos Blough is 2401 S 31St St # Ms 01E443, Temple, TX and can be reached out via phone at 248-345-9097.

Location: 2401 S 31St St # Ms 01E443, Temple, TX, 76508-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861885428
Provider Name
Jordan Thomas-casoglos Blough
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St # Ms 01E443, Temple, TX, 76508-0001
Phone Number
248-345-9097
Fax Number
Provider Enumeration Date
03/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St # Ms 01E443
City
Temple
State
Texas
Zip
76508-0001
Phone Number
248-345-9097
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St # Ms 01E443
City
Temple
State
Texas
Zip
76508-0001
Phone Number
248-345-9097
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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