Raymond F Jordan (NPI# 1104851096, PAC ID# 9032192604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104851096 |
| PAC ID by PECOS | 9032192604 |
| Professional Enrollment ID | I20040612000645 |
| Full Name | Raymond F Jordan |
| Organization Legal Name | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| Address |
4002 S Loop 256 Suite K Palestine TX 75801-8402 |
| Phone Number | 9037293015 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860303922 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451333 | MARTIN COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 4002 S Loop, 256 Suite K, Palestine, TX 75801-8402 | 9037293015 | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| 600 Interstate 20, Stanton, TX 79782-0640 | 4327563345 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Organization Legal Name | MT ENTERPRISE COMMUNITY HEALTH CLINIC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin T Watson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Lacee G Pierce | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Patricia Ann Watts | Physician Assistant | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Adam Rance Corley | Emergency Medicine | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Judith Sutherland | Clinical Social Worker | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brenda S Fountain | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brooke S Martin | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Amberly H Hopson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Cherryl Lynn Rowell | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Street Address |
4002 S LOOP 256 SUITE K |
| City | PALESTINE |
| State | TX |
| Zip | 75801-8402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi M Puvvada | Allergy/immunology | 4002 S Loop, 256 Suite L, Palestine, TX 75801-8403 | |
| Adebayo Shakir Adewale | Internal Medicine | 4002 S Loop, 256 Suite F, Palestine, TX 75801-8493 | |
| Robert A Launikitis | Orthopedic Surgery | Texas Specialty Physicians | 4002 S Loop, Suite 256, Palestine, TX 75801-8491 |
| Marco Antonio Peterson Jr. | Family Medicine | Texas Specialty Physicians | 4002 S Loop, Suite 256, Palestine, TX 75801-8491 |
| Nandan K Puvvada | General Surgery | 4002 S Loop, 256 Suite L, Palestine, TX 75801-8403 | |
| Nitin M Kamble | Psychiatry | Texas Specialty Physicians | 4002 S Loop, Palestine, TX 75801-8491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Gold | Ophthalmology | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Daniel Ewing | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Daniel M Gold | Ophthalmology | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Jumah T Absy | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Jayanna D Byrd | Optometry | Daniel M Gold Md Pa | 501 E Kolstad St, Palestine, TX 75801-2352 |
| Don A Rice | Chiropractic | 801 N Mallard St, Palestine, TX 75801-2366 | |
| Alyssa M Billue | Nurse Practitioner | Regency Ihs Nps LLC | 3201 N Ware Rd, Mcallen, TX 75801-3305 |
| Zachary Z Leslie | Chiropractic | Zachary Zane Leslie Dc Pa | 100 Willow Creek Pkwy C, Willow Creek Chiropractic and Wellness, Palestine, TX 75801-4387 |
| Quinton Thomas Reel | Chiropractic | Zachary Zane Leslie Dc Pa | 100 Willow Creek Pkwy C, Willow Creek Chiropractic and Wellness, Palestine, TX 75801-4387 |
| Brad A Brazeal | Psychiatry | 300 Willow Creek Pkwy, Suite 210, Palestine, TX 75801-4389 | |
| Find all physicians in zip 75801 | |||
| City | PALESTINE |
| Zip Code | 75801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PALESTINE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raymond F Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.