Provider Demographics
NPI:1063857605
Name:JORDAN, YEKATERINA A (MD)
Entity Type:Individual
Prefix:DR
First Name:YEKATERINA
Middle Name:A
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9102 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1553
Mailing Address - Country:US
Mailing Address - Phone:210-247-0888
Mailing Address - Fax:210-558-0758
Practice Address - Street 1:9102 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1553
Practice Address - Country:US
Practice Address - Phone:210-247-0888
Practice Address - Fax:210-558-0758
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS3205208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice