Individual
ERIC L JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
399 WEST LOUIS HENNA BLVD, SUITE A, AUSTIN, TX 78728
(512) 244-9780
(512) 244-9936
Mailing address
399 WEST LOUIS HENNA BLVD, SUITE A, AUSTIN, TX 78728
(512) 244-9780
(512) 244-9936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32011479873
TX
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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