JORDAN'S PLACE PEDIATRICS PA NPI 1245419431

NPI Information

NPI: 1245419431
Provider Name: JORDAN'S PLACE PEDIATRICS, PA

Doing Business As: JORDAN'S PLACE PEDIATRICS, PA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1317 N HILLCREST DR
SULPHUR SPRINGS, TX
ZIP 75482
Phone: (903) 438-1110
Get Directions

JORDAN'S PLACE PEDIATRICS, PA is a primary care clinic center in Sulphur Springs, TX. JORDAN'S PLACE PEDIATRICS, PA NPI is 1245419431. The provider is registered as an organization entity type.
The provider Is Doing Business As Jordan's Place Pediatrics, Pa.

The provider's business location address is:

1317 N HILLCREST DR
SULPHUR SPRINGS, TX
ZIP 75482-091
Phone: (903) 438-1110
Fax: (903) 438-1107

The provider's authorized official is Sherri Stone Barclay .
The authorized official title is Physican and has the following contact phone number (903) 438-1110.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 10/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	K7145	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	150000101	MEDICAID	TEXAS
2	0069GW	OTHER	TEXAS	BCBS GROUP
3	1154381259	OTHER	TEXAS	NPI INDVL
4	8C0310	OTHER	TEXAS	BCBS INDVL
5	150000102	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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