| Richard Ray Jordan, MD | |
|
1017 S Travis Ave, Cleveland, TX 77327-5152 | |
| (284) 580-9030 | |
| (281) 580-2725 |
| Full Name | Richard Ray Jordan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1017 S Travis Ave, Cleveland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972751543 | NPI | - | NPPES |
| 75-3248738 | Other | TX | TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G3505 (Texas) | Primary |
| Entity Name | Texans Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275733982 PECOS PAC ID: 8820171390 Enrollment ID: O20080207000456 |
| Entity Name | Evergreen Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720451248 PECOS PAC ID: 2769766187 Enrollment ID: O20170303000553 |
| Entity Name | Tgi Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114419512 PECOS PAC ID: 2264782564 Enrollment ID: O20190109000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Ray Jordan, MD Po Box 73265, Houston, TX 77273-3265 Ph: (281) 580-9030 | Richard Ray Jordan, MD 1017 S Travis Ave, Cleveland, TX 77327-5152 Ph: (284) 580-9030 |
Rajgopal R Pakanati, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 E Crockett St, Cleveland, TX 77327 Phone: 660-826-5960 Fax: 660-826-4852 | |
Dr. Christiana Rose Obi, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1017 S Travis Ave, Cleveland, TX 77327 Phone: 281-592-5400 Fax: 281-659-9790 |