JORDAN SEXE

TYLER, TX
NPI1578184172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10071527)
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
JORDAN SEXE DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7777
Mailing Address
JORDAN SEXE DO
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7777