Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RAY ILSE, MD
ActiveJORDAN RAY ILSE, MD is a Dermatology healthcare provider located in BELTON, Texas. NPI 1477712479 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BELTON, TX
Registration Details
- NPI Number
- 1477712479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2008 (18.236437288823 yrs)
- Last Updated
- Aug 4, 2017
- License
-
N8307 (TX)
Practice Information
- Address
-
1300 E. 6TH AVENUEBELTON, TX, 765132810Browse TX providers · Browse ZIP 76513
- Phone
- 2547785400
- Fax
- 2547785444
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in BELTON, TX
| Name | Credential | NPI |
|---|---|---|
| LEO ARNOLD CONGER JR. | — | 1588665772 |
| LENORE RENEE CHILES | MD | 1487614459 |
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.