Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | Q8841 | TX |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | Q8841 | TX |
NPI | 1326364548 |
---|---|
Provider Name | Jordan Austin Cain |
First Address | Frisco, TX 75034-7979 |
Second Address | Frisco, TX 75034-7979 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 13/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3736639 | (05) | TX |