Provider Demographics
NPI:1720026164
Name:JORDEN, ARMON J (MD)
Entity Type:Individual
Prefix:
First Name:ARMON
Middle Name:J
Last Name:JORDEN
Suffix:
Gender:M
Credentials:MD
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 841656
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1656
Mailing Address - Country:US
Mailing Address - Phone:903-531-5000
Mailing Address - Fax:
Practice Address - Street 1:800 E DAWSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-593-8441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2624207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0050DYOtherBCBS
TX135352605Medicaid
TX135352615Medicaid
TX75-0818167-048OtherTRICARE
TX8DU750OtherBCBS
TX135352614Medicaid
TX8DU749OtherBCBS
TXTIN PLUS 044OtherTRICARE
TX135352612Medicaid
TX135352613Medicaid
TX75-0818167-022OtherTRICARE
TX75-2616977-001OtherTRICARE
TX75-2616977-028OtherTRICARE
TXTIN PLUS 005OtherTRICARE
TXTIN PLUS 015OtherTRICARE
TX75-2616977-002OtherTRICARE
TX135352616Medicaid
TXP01246231OtherRAIL ROAD
TX00819JMedicare PIN
TX303394YMAFMedicare PIN
TX930082593Medicare PIN
TX75-2616977-001OtherTRICARE
TX75-0818167-022OtherTRICARE
TXTIN PLUS 005OtherTRICARE
TX135352613Medicaid
TX315972YNSXMedicare PIN
TX8DU750OtherBCBS