| NPI | 1891840575 |
|---|---|
| Former Legal Business Name | J.P. BORDELON M.D. & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELLIE R KING Office Administrator 512-458-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-06-24 |