MEDICARE: MS. JORDAN CARMEN MEEKER PA-C

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	363A00000X	Physician Assistant	PA19758	TX
2	207N00000X	Dermatology Physician	101911	IA
3	363AM0700X	Medical Physician Assistant	101911	IA

General Provider Information

NPI Number	:	1609268762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JORDAN CARMEN MEEKER PA-C

Provider Business Mailing Address
First Line	:	27131 FULSHEAR BEND DR
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1231
Country	:	US
Telephone Number	:	281-612-0050
Fax Number	:	281-612-0051

Provider Business Practice Location Address
First Line	:	27131 FULSHEAR BEND DR
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-1231
Country	:	US
Telephone Number	:	281-612-0050
Fax Number	:	281-612-0051

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

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	03/27/2026

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