Emily Jordan Maxon, DO in Fort Cavazos, TX - Dermatology

Emily Jordan Maxon, DO is a Dermatology physician based in Fort Cavazos, Texas. Emily Jordan Maxon is licensed to practice in Nebraska (license number 2395) and her current practice location is 36065 Santa Fe Ave, Fort Cavazos, Texas. She can be reached at her office (for appointments etc.) via phone at (254) 288-8000.

NPI number for Emily Jordan Maxon is 1770049314 and her current mailing address is 2102286243, Jbsa Ft Sam Houston, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770049314.

Contact Information

	Emily Jordan Maxon, DO
	36065 Santa Fe Ave, Fort Cavazos, TX 76544-5060
	(254) 288-8000
	Not Available

Physician's Profile

Full Name	Emily Jordan Maxon
Gender	Female
Speciality	Dermatology
Location	36065 Santa Fe Ave, Fort Cavazos, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1770049314
Provider Enumeration Date: 02/19/2019
Last Update Date: 08/08/2023

Medical Identifiers

Medical identifiers for Emily Jordan Maxon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770049314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	2395 (Nebraska)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	2395 (Nebraska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Jordan Maxon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Emily Jordan Maxon, DO 2102286243, Jbsa Ft Sam Houston, TX 78234-4504 Ph: () -	Emily Jordan Maxon, DO 36065 Santa Fe Ave, Fort Cavazos, TX 76544-5060 Ph: (254) 288-8000

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Emily Jordan Maxon, DO - Dermatology in Fort Cavazos, TX