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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720774672

Jordan Lynn Rezac, DO is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720774672
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address1500 S Main St, Fort Worth, TX 76104-4917

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