Jordan Lashea Mayberry, PA

Physician assistant in Dallas, Texas · NPI 1982940466

Jordan Mayberry is one of 1,330 physician assistants practicing in Dallas, Texas. Jordan Mayberry practices with University Of Texas Southwestern Medical Center At Dallas.

Registry record (NPPES)

NPI
1982940466
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5200 Harry Hines Blvd
Dallas, TX 75235-7709
(214) 645-4656
Enumerated
Jan 2, 2013
Record last updated
May 9, 2019
License states listed
TX

Medicare (CMS)

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

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Practice locations

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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.