Individual
JASON SCOTT JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1904 RAILROAD AVE STE 100, GEORGETOWN, TX 78626-7718
(512) 863-4563
(512) 869-5899
Mailing address
2213 MANADA TRL, CEDAR PARK, TX 78641-2740
(512) 983-2348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06165
TX
Other
Enumeration date
02/12/2009
Last updated
09/11/2024
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