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NPI Code Detail

MEDICARE: JORDAN WAFFIRD DPT, PT

MEDICARE: JORDAN WAFFIRD DPT, PT
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
1225100000XPhysical TherapistCP058015TTX
2225100000XPhysical Therapist13031TN
3225100000XPhysical TherapistCP037343TGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437769197
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN WAFFIRD DPT, PT
Provider Business Mailing Address
First Line : 1300 W SAM HOUSTON PKWY S STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77042-2453
Country : US
Telephone Number : 713-344-1477
Fax Number : 713-430-4041
Provider Business Practice Location Address
First Line : 5833 W I 20
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1057
Country : US
Telephone Number : 817-561-1115
Fax Number : 817-516-1104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 06/05/2026

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Directions to “ JORDAN WAFFIRD DPT, PT” Practice Location

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