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Contact Information

ERIC L JORDAN, C.PED
399 WEST LOUIS HENNA BLVD
SUITE A
AUSTIN, TX78728
 Phone: 512-244-9780
 Fax: 512-244-9936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ERIC L JORDAN · (Male)

NPI # 1003974254
Status Active
Credentials C.PED
Entity Individual
Enumeration date 12/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 32011479873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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