Jordan Laine Bishop

NPI #1518757350 in Shallowater, Texas

Provider Information

NPI Number: 1518757350
Entity Type: Individual
Name: Jordan Laine Bishop
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 6, 2025
Last Updated: May 6, 2025

Practice Location

Address: 7001 N COUNTY ROAD 1600
City: Shallowater
State: Texas
ZIP Code: 79363-3970
Phone: (806) 241-8014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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