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NPI Code Detail

MEDICARE: SYTONYA MELANO JORDAN

MEDICARE:   SYTONYA MELANO JORDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther TechnicianTX

General Provider Information

NPI Number : 1306792056
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYTONYA MELANO JORDAN
Provider Business Mailing Address
First Line : 2515 PERRYTON DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-1558
Country : US
Telephone Number : 817-317-1863
Fax Number :
Provider Business Practice Location Address
First Line : 2515 PERRYTON DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-1558
Country : US
Telephone Number : 817-317-1863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ SYTONYA MELANO JORDAN ” Practice Location

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