Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Grove, MD

Individual provider General Practice Physician · NPI 1225658701

Jordan Grove, MD is a General Practice Physician in Jbsa Lackland, Texas. Licensed in Texas and Virginia. Registered with an NPI since 2020.

Licensed in
TX, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 916-4789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence U5706 (TX)
General Practice Physician Taxonomy 208D00000X · Licence 0101273843 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225658701
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

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