Pastorek, Jordan

Pastorek, Jordan is an individual health care provider with primary practice located at 4645 Avon Ln Ste 200, Frisco TX 75033-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pastorek, Jordan can be contacted via phone (469) 430-5850.

Contact Information

Primary practice address
4645 Avon Ln Ste 200 Frisco TX 75033-1559
Fax: (877) 722-7085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19850 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M1286 Texas

Profile Details

NPI number 1265400634
LBN Legal business name Pastorek, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 24th, 2023 - about last year

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 1265400634 NPPES
Mississippi MEDICAID 03081311
Mississippi Other 64-6000515

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