Dr Raymond F Jordan, DO | |
103 N Main St, Lindale, TX 75771-3115 | |
(903) 882-3194 | |
(903) 882-7405 |
Full Name | Dr Raymond F Jordan |
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Gender | Male |
Speciality | Family Medicine |
Location | 103 N Main St, Lindale, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104851096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J0842 (Texas) | Primary |
Entity Name | Phynet Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144245176 PECOS PAC ID: 8527038298 Enrollment ID: O20040729000674 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond F Jordan, DO 4002 Technology Ctr, Longview, TX 75605-2697 Ph: (903) 247-0484 | Dr Raymond F Jordan, DO 103 N Main St, Lindale, TX 75771-3115 Ph: (903) 882-3194 |
Dr. Donna M Hand, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 E North St, Lindale, TX 75771 Phone: 903-882-3194 Fax: 903-882-7405 | |
Dr. Roger N Fowler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3202 S Main St, Lindale, TX 75771 Phone: 903-882-0991 | |
Rodney Kent Van Andel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3203 S Main St, Lindale, TX 75771 Phone: 903-266-4000 Fax: 903-882-7751 | |
Melita Lang Brooks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 S Main St, Lindale, TX 75771 Phone: 903-882-0991 | |
Dr. Jack Wallace Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20044 Fm 16 W, Lindale, TX 75771 Phone: 903-882-3808 Fax: 903-882-3808 | |
Russell Bell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3203 S Main St, Lindale, TX 75771 Phone: 903-882-0991 Fax: 903-882-7751 |