Individual provider · Type 1 NPI

Jordan Wiseman, PA-C

Surgical Physician Assistant · Sugar Land, TX

NPI number 1144705898 Active

Practice location

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540

Call (832) 655-4141 Map

Fax (713) 457-5188

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA12258 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1144705898

Jordan Wiseman, PA-C's National Provider Identifier is 1144705898, issued on Sep 28, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sugar Land, TX. The record was last updated on Jan 29, 2020.