Individual provider · Type 1 NPI

Jordan Michael Maxwell, DO

Sports Medicine (Family Medicine) Physician · El Paso, TX

NPI number 1194354217 Active

Practice location

9849 Kenworthy St
El Paso, TX 79924-4402

Fax (915) 215-8655

Mailing address

6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133

Other practice locations

  • 8930 W Sunset Rd Ste 140, Las Vegas, NV 89148-5009 · (702) 968-3240

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician 207QS0010XV1186 (TX)
Sports Medicine (Family Medicine) Physician Primary 207QS0010XCL0996 (NV)
Family Medicine Physician 207Q00000XBP10085708 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician 207Q00000XV1186 (TX)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1194354217

Jordan Michael Maxwell, DO's National Provider Identifier is 1194354217, issued on Apr 2, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in El Paso, TX. The record was last updated on Sep 28, 2026.