JORDAN ILSE, MD

Dermatology

Active Individual
NPI: 1477712479

Practice Address

1300 E. 6TH AVENUE
Belton, TX 76513

Phone: (254) 778-5400

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes N8307 (TX)

Frequently Asked Questions

NPI 1477712479 is the National Provider Identifier for JORDAN ILSE, MD, a Dermatology provider located in Belton, TX. This NPI was enumerated on June 4, 2008.
JORDAN ILSE, MD practices at 1300 E. 6TH AVENUE, Belton, TX 76513.

Quick Facts

NPI
1477712479
Type
Individual
Enumerated
Jun 4, 2008
Last Updated
Aug 4, 2017

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