Individual
JORDON BACKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 BRIAR HOLLOW LN STE 102, HOUSTON, TX 77027-2813
(713) 795-5424
Mailing address
3952 HANNAHS WAY, LEAGUE CITY, TX 77573-3995
(409) 748-0989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP141792
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141792
TX
Other
Enumeration date
06/10/2019
Last updated
01/22/2024
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