Individual ProviderJordan HartmanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressUt Tyler Health Science Center At Tyler, 11937 Us Highway 271,, Tyler, TX 75708(903) 877-7200PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Hartman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356038707Provider TypeIndividualFull NameHartman, JordanCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/18/2023Last Updated7/20/2023Contact InformationPractice LocationPractice AddressUt Tyler Health Science Center At Tyler, 11937 Us Highway 271,, Tyler, TX 75708Phone(903) 877-7200FaxUnlisted FaxMailing LocationMailing AddressUt Tyler Health Science Center At Tyler, 11937 Us Highway 271, Tyler, TX 75708Phone(903) 877-7200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10085232Texas