Individual
JORDAN HARBORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12345 N LAMAR BLVD STE 260, AUSTIN, TX 78753-1347
(512) 977-7000
Mailing address
12345 N LAMAR BLVD STE 260, AUSTIN, TX 78753-1347
(512) 977-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
820968
TX
363LF0000X
Family Nurse Practitioner
820968
TX
Other
Enumeration date
07/25/2015
Last updated
04/01/2020
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