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

Mr. Jordan Brett Graffagnino, LSA, CSFA

Individual provider Surgery Physician · NPI 1689920175

Mr. Jordan Brett Graffagnino, LSA, CSFA is a Surgery Physician in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

9325 Phelan Blvd
Beaumont, TX 77706-5122
Phone: (409) 554-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00483 (TX)
Surgery Physician Taxonomy 208600000X · Licence SA00483 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence 136982 (TX)

Record details

NPI number1689920175
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA , CSFA
Sole proprietorYes
NPI enumeratedAugust 2, 2012
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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