Individual
LARRY DON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2435 JORDAN HILL LN, RENO, TX 75462-3143
(903) 495-6518
Mailing address
2435 JORDAN HILL LN, RENO, TX 75462-3143
(903) 495-6518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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