Jordan Ray Ilse, MD

Dermatologist in Belton, Texas · NPI 1477712479

Jordan Ilse is one of 3 dermatologists practicing in Belton, Texas. See all dermatologists in Texas. Jordan Ilse practices with Oliver Street 5.01(A) Inc.

Registry record (NPPES)

NPI
1477712479
Type
Type 1 · Individual
Primary taxonomy
Dermatology · 207N00000X
Address on file
1300 E. 6th Avenue
Belton, TX 76513-2810
(254) 778-5400
Enumerated
Jun 4, 2008
Record last updated
Aug 4, 2017
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Dermatology
Revalidation due
No date set by CMS

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Practice locations

More dermatologists in Belton

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.