DARREL JORDAN, MD, PA
Medical Practice at Greenville Ave, Dallas, TX

License number
Texas J8615
Category
Medical Practice
Type
Obstetrics
Owner
Name: MR. LYNN DARREL JORDAN M.D.
Title: PRESIDENT/OWNER
Phone: (214) 476-1791
Address
Address 2
7424 Greenville Ave, Dallas, TX 75231
PO Box 451134, Garland, TX 75045
National Provider ID: 1689724379
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DARREL JORDAN, M.D., PA

Garland, TX  -  Dallas, TX

Status:
Inactive
Doing business as:
Darrel Jordan, M.D., PA
Registration:
Aug 13, 1998
Addresses:
PO Box 451134, Garland, TX 75045 (Mailing)
7777 Frst Ln, Dallas, TX 75230
5939 Harry Hines Blvd, Dallas, TX 75235
State ID:
0081926403
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-Presidents:
L. Darrel Jordan (Director, Member, President),Karen F. Jordan (Member, Secretary),Darrel Jordan President , Treasurer , Secretary , Director , Member , Vice-President, inactive
TIN:
17527767424

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