| Dakeya V Jordan, DO | |
|
855 Montgomery St, Fort Worth, TX 76107-2553 | |
| (817) 735-2440 | |
| Not Available |
| Full Name | Dakeya V Jordan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 855 Montgomery St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124257431 | NPI | - | NPPES |
| 8EL277 | Other | TX | BCBS |
| 337803601 | Medicaid | TX | |
| P01398102 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P4465 (Texas) | Primary |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Entity Name | University Of North Texas Health Science Center At Fort Worth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakeya V Jordan, DO Po Box 99335, Fort Worth, TX 76199-0335 Ph: () - | Dakeya V Jordan, DO 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2440 |
Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |