Individual
JORDAN L HOLCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4245
(817) 877-3432
(817) 346-4394
Mailing address
6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4245
(817) 877-3432
(817) 346-4394
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA08329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323432001
—
TX
Enumeration date
01/10/2013
Last updated
11/05/2018
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