Organization Active NPI

Maria Jordan MD PA

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1710161666
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9892 Issued in TX
Legal business name
MARIA JORDAN MD PA
Practice address
27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476
Phone
(281) 290-7777
Fax
(281) 378-6808
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria L Jordan, MD
Title
MD/Owner
Phone
(281) 290-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J9892 TX Primary

Addresses

Primary practice location

27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476

Mailing address

27920 Tomball Pkwy
Suite 210
Tomball, TX 77375-6476
Phone (281) 290-7777

Other identifiers 1

IdentifierTypeStateIssuer
038248302MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1710161666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27920 TOMBALL PKWY",
            "address_2": "SUITE 210",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756476",
            "telephone_number": "281-290-7777",
            "fax_number": "281-378-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27920 TOMBALL PKWY",
            "address_2": "SUITE 210",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756476",
            "telephone_number": "281-290-7777",
            "fax_number": "281-378-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA JORDAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "281-290-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038248302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.