Jordan Ray Ilse, MD

NPI #1477712479 in Belton, Texas

Provider Information

NPI Number: 1477712479
Entity Type: Individual
Name: Jordan Ray Ilse, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 4, 2008
Last Updated: Aug 4, 2017

Practice Location

Address: 1300 E. 6TH AVENUE
City: Belton
State: Texas
ZIP Code: 76513-2810
Phone: (254) 778-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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