| Donna Jordan, D.o.,p.a. | |
|
23 Hospital Dr Ste. 100 Abilene TX 79606-5270 | |
| (325) 698-8500 | |
| (325) 698-8631 |
| Full Name | Donna Jordan, D.o.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 23 Hospital Dr, Abilene, Texas |
| Authorized Official Name and Position | Donna Jordan (OWNER) |
| Authorized Official Contact | 3256988500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Jordan, D.o.,p.a. 23 Hospital Drive Suite 100 Abilene TX 79606-5270 Ph: (325) 698-8500 | Donna Jordan, D.o.,p.a. 23 Hospital Dr Ste. 100 Abilene TX 79606-5270 Ph: (325) 698-8500 |
| NPI Number | 1427357375 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 11/29/2011 |
| Medicare PECOS PAC ID | 6406013622 |
|---|---|
| Medicare Enrollment ID | O20120131000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427357375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2930 (Texas) | Primary |
| Provider Name | Donna Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518990464 PECOS PAC ID: 8224295308 Enrollment ID: I20120201000098 |
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