Provider Demographics
NPI:1811217797
Name:JORDAN, MATTHEW EMERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:EMERSON
Last Name:JORDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6400 FANNIN ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1526
Mailing Address - Country:US
Mailing Address - Phone:713-486-7400
Mailing Address - Fax:281-359-2811
Practice Address - Street 1:18411 W LAKE HOUSTON PKWY STE 550
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3594
Practice Address - Country:US
Practice Address - Phone:713-486-7400
Practice Address - Fax:281-359-2816
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ6636207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery