| NPI | 1245419431 |
|---|---|
| Doing Business As | JORDAN'S PLACE PEDIATRICS, PA |
| Entity Type | Organization |
| Authorized Contact | SHERRI STONE BARCLAY Physican 903-438-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K7145) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |