| Jordan Dental PA | |
|
415 S Airport Dr Weslaco TX 78596-5395 | |
| (720) 236-4651 | |
| Not Available |
| Full Name | Jordan Dental PA |
|---|---|
| Speciality | Dentist |
| Location | 415 S Airport Dr, Weslaco, Texas |
| Authorized Official Name and Position | Khaldoon Abid (DDS/OWNER) |
| Authorized Official Contact | 7202364651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Dental PA 415 S Airport Dr Weslaco TX 78596-5395 Ph: (720) 236-4651 | Jordan Dental PA 415 S Airport Dr Weslaco TX 78596-5395 Ph: (720) 236-4651 |
| NPI Number | 1174947899 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Medicare PECOS PAC ID | 2264893254 |
|---|---|
| Medicare Enrollment ID | O20230808000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174947899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27692 (Texas) | Primary |
| Provider Name | Khaldoon Abid |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386917607 PECOS PAC ID: 2264739267 Enrollment ID: I20230808000912 |
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