Most Relevant Information
Provider Data
| NPI Number: | 1003052002 |
| Provider Name: | JOHN GIBBONS JORDAN M.D., M.P.H. |
| Entity Type: | Individual |
| Taxonomy Code: | 2083C0008X |
| Specialty: | Preventive Medicine |
| License Number: | N1697 |
Most Important Dates
| Enumeration Date: | 12/21/2008 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
5800 AIRPORT BLVD
AUSTIN
TX
787524204
Practice Location Phone/Fax
| Phone: | 5129788140 |
| Fax: |
Provider Mailing Location
5800 AIRPORT BLVD
AUSTIN
TX
787524204
Provider Mailing Phone/Fax
| Phone: | 5129788140 |
| Fax: |