NPI | 1891840575 |
---|---|
Former Legal Business Name | J.P. BORDELON M.D. & ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JENNIFER VAN REUSEN Office Administrator 512-380-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
Enumeration Date | 2007-01-24 |
Last Update Date | 2025-01-28 |