Jordan Traber
Medical Specialty
Professional ID
- NPI: 1831571660
- PECOS ID: 0749594257
- Enrollment ID: I20150728005338
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2015
Medical Practices
- Organization Name: Heaton Ear Nose And Throat Associates Of East Texas P A
- Group Practice ID assigned by PECOS: 4688774482
- Number of Group Practice member: 14
Location
- Address1: 1136 E Grande Blvd
- Address2: Ent Associates Of East Texas
- City: Tyler
- State: Texas
- Zip Code: 75703
- Phone Number: (903)592-5601
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):