Provider Demographics
NPI:1346519063
Name:JOURDAN, JOY R (DC)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:R
Last Name:JOURDAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7005
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77248-7005
Mailing Address - Country:US
Mailing Address - Phone:816-838-5808
Mailing Address - Fax:
Practice Address - Street 1:2727 W 18TH ST
Practice Address - Street 2:#251
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1072
Practice Address - Country:US
Practice Address - Phone:816-838-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4741111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition