Individual
JESSICA DAWN BORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
598 N UNION AVE STE 350, NEW BRAUNFELS, TX 78130-4196
(830) 500-3034
(830) 515-1712
Mailing address
794 GENERATIONS DR STE 100, NEW BRAUNFELS, TX 78130-0058
(830) 500-3034
(830) 515-1712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434272
—
AZ
01
—
8FC829
BCBS
TX
05
—
PENDING
—
TX
Enumeration date
10/28/2008
Last updated
03/15/2023
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