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NPI Code Detail

MEDICARE: MONICA GLORIA JORDAN MD

MEDICARE:   MONICA GLORIA JORDAN  MD
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
1208600000XSurgery PhysicianE-15846AR
2208600000XSurgery PhysicianU9559TX

General Provider Information

NPI Number : 1629591821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA GLORIA JORDAN MD
Provider Business Mailing Address
First Line : 4301 W MARKHAM ST # 783
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-686-8000
Fax Number : 501-526-5148
Provider Business Practice Location Address
First Line : 1390 GEORGE DIETER DR STE 110
Second Line :
City : EL PASO
State : TX
Zip : 79936-7423
Country : US
Telephone Number : 915-543-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 08/29/2025

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Directions to “ MONICA GLORIA JORDAN MD” Practice Location

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