Most Relevant Information
Provider Data
| NPI Number: | 1003417437 |
| Provider Name: | JORDAN MCHENRY RD LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT87702 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 09/21/2023 |
Provider Practice Location
700 E PARK BLVD STE 206
PLANO
TX
750745472
Practice Location Phone/Fax
| Phone: | 9724229180 |
| Fax: |
Provider Mailing Location
700 E PARK BLVD STE 206
PLANO
TX
750745472
Provider Mailing Phone/Fax
| Phone: | 9724229180 |
| Fax: |