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NPI Code Detail

MEDICARE: JORDAN RICHTER

MEDICARE: JORDAN RICHTER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326980848
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN RICHTER
Provider Business Mailing Address
First Line : 590 MEDICAL CENTER RD
Second Line :
City : FORT HOOD
State : TX
Zip : 76544-5060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 590 MEDICAL CENTER RD
Second Line :
City : FORT HOOD
State : TX
Zip : 76544-5060
Country : US
Telephone Number : 254-288-8280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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