Dr. Tyson Jay Jordan, M.D.
Emergency Medicine in Temple, TX. Individual provider (NPI-1).
NPI number1861620122
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1861620122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyson Jay Jordan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2009
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | N7440 | TX | Yes |
Practice location
2401 S 31st StTemple, TX 76508-0001
Phone 254-724-5815
Mailing address
2401 S 31st StTemple, TX 76508-0001
Phone 254-724-5815
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