Jordan, Christopher Griffith
Jordan, Christopher Griffith is an individual health care provider with primary practice located at 5450 Clearfork Main St Ste 200 , Fort Worth TX 76109-3562. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Jordan, Christopher Griffith can be contacted via phone (682) 707-4545.Contact Information
Primary practice address
5450 Clearfork Main St Ste 200
Fort Worth TX 76109-3562
Phone: (682) 707-4545
Fax: (817) 804-8160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L1085 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | DO-986 | Alabama |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | L1085 | Texas |
Profile Details
| NPI number | 1679523625 |
|---|---|
| LBN Legal business name | Jordan, Christopher Griffith |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679523625 | NPPES |
| Texas | MEDICAID | 1500738-01 | |
| Texas | MEDICAID | 1500738-02 | |
| Texas | MEDICAID | 150073803 | |
| Texas | Other | 8EF297 | |
| Texas | MEDICAID | 009913293 |
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