Individual provider · Type 1 NPI
Jordan Ernst, DPM, MS
Foot & Ankle Surgery Podiatrist · Grapevine, TX
NPI number
1801281779
Active
Practice location
1600 W College St Ste 100
Grapevine, TX 76051-3575
Fax (817) 421-6060
Mailing address
3155 Stars And Stripes Way Apt 471
Grapevine, TX 76051-1520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 3012 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3988 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1801281779
Jordan Ernst, DPM, MS's National Provider Identifier is 1801281779, issued on Mar 30, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grapevine, TX. The record was last updated on Jan 3, 2022.