Wiseman, Jordan

Wiseman, Jordan is an individual health care provider with primary practice located at 1 Sugar Creek Center Blvd Ste 618 , Sugar Land TX 77478-3540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Wiseman, Jordan can be contacted via phone (832) 655-4141.

Contact Information

Primary practice address
1 Sugar Creek Center Blvd Ste 618 Sugar Land TX 77478-3540
Phone: (832) 655-4141
Fax: (713) 457-5188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA12258 Texas

Profile Details

NPI number 1144705898
LBN Legal business name Wiseman, Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2018
Last updated Jan 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144705898 NPPES
Texas Other 8KE886 BCBS - UNIVERSAL SURGICAL PARTNERS
Texas Other 8KE884 BCBS - UNIVERSAL SURGICAL PARTNERS
Texas Other 8LI002 BCBS - UNIVERSAL SURGICAL PARTNERS
Texas Other 8KE885 BCBS - UNIVERSAL SURGICAL PARTNERS
Texas Other PA12258 BCBS - UNIVERSAL SURGICAL PARTNERS

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