Eric L Jordan C.PED

NPI 1003974254 - Specialist - 174400000X

NPI Details
NPI 1003974254
Gender Male
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
399 WEST LOUIS HENNA BLVD
SUITE A
AUSTIN TX, 78728, US
Phone (512) 244-9780
Fax (512) 244-9936
Business Location
399 WEST LOUIS HENNA BLVD
SUITE A
AUSTIN TX, 78728, US
Phone (512) 244-9780
Fax (512) 244-9936
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number 32011479873
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According to our database, Eric L Jordan C.PED NPI is 1003974254, taxonomy code is 174400000X and license number is 32011479873, license state is located at Texas. Eric L Jordan C.PED physically located at 399 West Louis Henna Blvd, Austin TX, 78728. NPI Number Eric L Jordan C.PED has the Individual type.

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1003974254 NPI number is provided on an as is basis without warranty of any kind. 1003974254 is maintained by the National Plan & Provider Enumeration System. The contents of Eric L Jordan C.PED are for informational purposes only.