Most Relevant Information
Provider Data
| NPI Number: | 1003235193 |
| Provider Name: | JORDAN DANIEL SPARKMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | BP10049483 |
Most Important Dates
| Enumeration Date: | 04/16/2014 |
| Last Updated: | 07/29/2021 |
Provider Practice Location
1504 TAUB LOOP, 5TH FLOOR GASTROENTEROLOGY
HOUSTON
TX
77030
Practice Location Phone/Fax
| Phone: | 7138732000 |
| Fax: |
Provider Mailing Location
1504 TAUB LOOP, 5TH FLOOR GASTROENTEROLOGY
HOUSTON
TX
77030
Provider Mailing Phone/Fax
| Phone: | 7138733503 |
| Fax: |