IndividualActive
Craig Jordan, PH.D.
NPI 1386638567 · Assistive Technology Supplier Audiologist · Lackland a F B, TX
Provider details
- NPI number
- 1386638567
- Entity type
- Individual
- Primary specialty
- Assistive Technology Supplier AudiologistSpeech, Language and Hearing Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 51026 (TX)
Practice location
2200 Bergquist Dr
Suite 1
Lackland a F B, TX 78236-9907
Phone: (210) 536-2940
Mailing address
13026 Hunters Breeze St
San Antonio, TX 78230-2811
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.