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

Jordan Rose

Individual provider Surgical Physician Assistant · NPI 1538768114

Jordan Rose is a Surgical Physician Assistant in Lackland AFB, Texas. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Phone: (210) 292-4897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1538768114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638