JORDAN EVAN BRENNON POWELL

FORT SAM HOUSTON, TX
NPI1033572821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NE  30164)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-30
Last Update Date2020-07-02
Business Address
Dr. JORDAN EVAN BRENNON POWELL MD
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
Mailing Address
Dr. JORDAN EVAN BRENNON POWELL MD
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582