JORDAN MICHAEL VAN DE VERE

AUSTIN, TX
NPI1467042879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224L00000X Pedorthist
Enumeration Date2021-01-20
Last Update Date2021-01-20
Business Address
JORDAN MICHAEL VAN DE VERE C. Ped
4615 N LAMAR BLVD STE 305
AUSTIN, TX 78751-2357
Phone number: 512-476-5110
Mailing Address
JORDAN MICHAEL VAN DE VERE C. Ped
9901 N CAPITAL OF TEXAS HWY STE 120
AUSTIN, TX 78759-5853
Phone number: 512-346-4400
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