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General NPI Number Information
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NPI Number | 1710161666
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Entity Type | Organization
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Legal Business Name | MARIA JORDAN MD PA
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 27920 TOMBALL PKWY SUITE 210
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City | TOMBALL
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State | TX
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Zip | 77375-6476
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Country | US
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Telephone | 281-290-7777
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Fax | 281-378-6808
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Provider Business Mailing Address
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Address Line | 27920 TOMBALL PKWY SUITE 210
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City | TOMBALL
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State | TX
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Zip | 77375-6476
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Country | US
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Telephone | 281-290-7777
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Fax | 281-378-6808
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. MARIA L JORDAN
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Credential | MD
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Telephone | 281-290-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J9892
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License Number State | TX
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