Individual provider · Type 1 NPI
Craig Eugene Jordan, PhD
Assistive Technology Supplier Audiologist · Lackland A F B, TX
NPI number
1386638567
Active
Practice location
2200 Bergquist Dr, Suite 1
Lackland A F B, TX 78236-9907
Mailing address
13026 Hunters Breeze St
San Antonio, TX 78230-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 51026 (TX) |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 51026 (TX) |
| Audiologist-Hearing Aid Fitter | 237600000X | 51026 (TX) |
| Assistive Technology Supplier Audiologist Primary | 231HA2500X | 51026 (TX) |
Assistive Technology Supplier Audiologist: Definition to come...
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About NPI 1386638567
Craig Eugene Jordan, PhD's National Provider Identifier is 1386638567, issued on Sep 2, 2005. The primary taxonomy on file is Assistive Technology Supplier Audiologist (231HA2500X), and the practice location is in Lackland A F B, TX. The record was last updated on Sep 11, 2025.