person
Jordan Blake Wallis
Student in an Organized Health Care Education/Training Program in Houston, Texas
NPI 1922859206

Jordan Blake Wallis is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Jordan Blake Wallis practices in Houston, TX. The NPI Number for Jordan Blake Wallis is 1922859206 and holds a License No. (Texas).

The current practice location address for Jordan Blake Wallis is 6431 Fannin St Ste Jjl 270, Houston, TX and can be reached out via phone at 713-500-7882 and via fax at 713-500-0758.

Location: 6431 Fannin St Ste Jjl 270, Houston, TX, 77030-1501
person
Provider Profile Details
NPI Number
1922859206
Provider Name
Jordan Blake Wallis
Credential
Provider Entity Type
Individual
Gender
Male
Address
6431 Fannin St Ste Jjl 270, Houston, TX, 77030-1501
Phone Number
713-500-7882
Fax Number
713-500-0758
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
6431 Fannin St Ste Jjl 270
City
State
Zip
77030-1501
Phone Number
713-500-7882
Fax Number
713-500-0758
person
Provider Business Mailing Address Details
Address
6431 Fannin St Ste Jjl 270
City
State
Zip
77030-1501
Phone Number
713-500-7882
Fax Number
713-500-0758
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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