Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMILY JORDAN MAXON, DO
ActiveEMILY JORDAN MAXON, DO is a Dermatology healthcare provider located in FORT CAVAZOS, Texas. NPI 1770049314 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT CAVAZOS, TX
Registration Details
- NPI Number
- 1770049314
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2019 (7.499432100351 yrs)
- Last Updated
- Aug 8, 2023
- Licenses
-
2395 (NE)2395 (NE)
Practice Information
- Address
-
36065 SANTA FE AVEFORT CAVAZOS, TX, 765445060Browse TX providers · Browse ZIP 76544
- Phone
- 2542888000
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dermatology
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.