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NPI Code Detail

MEDICARE: WALTER ANDRES CAMARGO JORDAN M.D.

MEDICARE: WALTER ANDRES CAMARGO JORDAN M.D.
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
12084N0400XNeurology Physician2020013097MO

General Provider Information

NPI Number : 1659754851
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER ANDRES CAMARGO JORDAN M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST STE 7.044
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 832-325-7080
Fax Number : 713-512-2239
Provider Business Practice Location Address
First Line : 6431 FANNIN ST STE 7.044
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 832-325-7080
Fax Number : 713-512-2239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 06/10/2026

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