Dr. John Gibbons Jordan Jr., M.D., M.P.H.
Preventive Medicine, Public Health & General Preventive Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1003052002
StatusActive
Last updated in NPPESDec 23, 2025
Details
- NPI
- 1003052002
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Gibbons Jordan Jr.
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2008
- Certification date
- Dec 23, 2025
- Last updated
- Dec 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | N1697 | TX | Yes |
| 207R00000X | Internal Medicine | N1697 | TX | |
| 2083C0008X | Preventive Medicine, Clinical Informatics Specialist | N1697 | TX |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
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