Jordan, Corinne Nicole

Jordan, Corinne Nicole is an individual health care provider with primary practice located at 5206 Research Dr , San Antonio TX 78240-5251. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Jordan, Corinne Nicole can be contacted via phone (210) 595-5300.

Contact Information

Primary practice address
5206 Research Dr San Antonio TX 78240-5251
Phone: (210) 595-5300
Fax: (210) 614-8740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101017162 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS11306 Florida
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X Q1836 Texas

Profile Details

NPI number 1235335472
LBN Legal business name Jordan, Corinne Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated May 17th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235335472 NPPES
Texas MEDICAID 349441102
Texas Other P01547630

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