person
Jordan Michael Van De Vere, CPED
Pedorthist in Austin, Texas
NPI 1467042879

Jordan Michael Van De Vere is a Pedorthist based in Austin, TX. Jordan Michael Van De Vere practices in Austin, TX and has the professional credentials of CPED. The NPI Number for Jordan Michael Van De Vere is 1467042879 and holds a License No. (Texas).

The current practice location address for Jordan Michael Van De Vere is 4615 N Lamar Blvd Ste 305, Austin, TX and can be reached out via phone at 512-476-5110 and via fax at 512-476-5178. You can also correspond with Jordan Michael Van De Vere through the mailing address at 9901 N CAPITAL OF TEXAS HWY STE 120, AUSTIN, TX - 78759-5853 (mailing address contact number: 512-346-4400).

Location: 4615 N Lamar Blvd Ste 305, Austin, TX, 78759-5853
person
Provider Profile Details
NPI Number
1467042879
Provider Name
Jordan Michael Van De Vere
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
4615 N Lamar Blvd Ste 305, Austin, TX, 78759-5853
Phone Number
512-476-5110
Fax Number
512-476-5178
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4615 N Lamar Blvd Ste 305
City
State
Zip
78751-2357
Phone Number
512-476-5110
Fax Number
512-476-5178
person
Provider Business Mailing Address Details
Address
4615 N Lamar Blvd Ste 305
City
State
Zip
78751-2357
Phone Number
512-476-5110
Fax Number
512-476-5178
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
License No.
(Texas)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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