Jordan Ray Ilse is a Dermatology in Belton, Texas. Jordan Ray Ilse practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jordan Ray Ilse is 1477712479. The last update date is 2017-08-04.
Jordan Ray Ilse's current location address is 1300 East 6th Ave, Belton, Texas. You can contact this provider via phone number 2547785400 and fax number 2547785444. The mailing address for Jordan Ray Ilse is 1300 East 6th Ave, Belton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Ray Ilse |
|---|---|
| Address | 1300 East 6th Ave, Belton, Texas |
| Phone Number | 2547785400 |
| Fax Number | 2547785444 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477712479 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2017-08-04 |
Provider Mailing Address Detail
| Address | 1300 East 6th Ave |
|---|---|
| City | Belton |
| State | Texas (TX) |
| Post Code | 76513 |
| Phone Number | 2547785400 |
| Fax Number | 2547785444 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | N8307 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N8307 | TX | TX LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jordan Ray Ilse?
The Jordan Ray Ilse has been issued the NPI (National Provider Identifier) 1477712479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jordan Ray Ilse?
The Jordan Ray Ilse is physically situated at 1300 East 6Th Ave, in the city of Belton, state of TX, with the postal code 76513.
What is the area of specialization for Jordan Ray Ilse, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jordan Ray Ilse is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When did Jordan Ray Ilse receive its 1477712479 assignment?
The Jordan Ray Ilse was assigned its 1477712479 on 2008-06-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jordan Ray Ilse most recently updated?
The details pertaining to the Jordan Ray Ilse, including its address, specialty, and other relevant information, were last refreshed on 2017-08-04.