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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN GROVE, MD

Active

JORDAN GROVE, MD is a Emergency Medicine healthcare provider located in JBSA LACKLAND, Texas. NPI 1225658701 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · JBSA LACKLAND, TX

Registration Details

NPI Number
1225658701
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2020 (6.3004383497548 yrs)
Last Updated
Aug 17, 2023
Licenses
0101273843 (VA)
U5706 (TX)

Practice Information

Address
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX, 782365638
Browse TX providers · Browse ZIP 78236
Phone
2109164789
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in JBSA LACKLAND, TX

Name Credential NPI
PETER JOHN CUENCA M.D. 1194714113
DR. TROY R. JOHNSON MD 1992796585
DR. MICHAEL A HUOTT M.D. 1598736787
DR. ANTHONY L MITCHELL MD 1013968080
DR. JOSEPH E. CORNETT MD 1841435963
DR. MICHAEL BERNARD SEIB II M.D. 1932428331
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.