MEDICARE: DR. JORDAN ROSS FEIN DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	2324	TX
2	213E00000X	Podiatrist	2324	TX

General Provider Information

NPI Number	:	1528441391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN ROSS FEIN DPM

Provider Business Mailing Address
First Line	:	PO BOX 800240
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77280-0240
Country	:	US
Telephone Number	:	832-301-9871
Fax Number	:	281-810-8656

Provider Business Practice Location Address
First Line	:	6243 FAIRMONT PKWY STE 203C
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4047
Country	:	US
Telephone Number	:	832-301-9871
Fax Number	:	281-810-8656

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	11/03/2025

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