Healthcare Provider Details

I. General information

NPI: 1952024853
Provider Name (Legal Business Name): TORRIE LEIGH JORDAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORRIE LEIGH ROBINSON

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/26/2022
Certification Date: 09/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 S MCCOLL RD
EDINBURG TX
78539-5503
US

IV. Provider business mailing address

5415 S MCCOLL RD
EDINBURG TX
78539-9183
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax:
Mailing address:
  • Phone: 956-661-0529
  • Fax: 956-618-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number147052
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: