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Jordan Van De Vere, C. PED
NPI 1467042879 · on the registry since 2021
Practice
- Address
- 4615 N Lamar Blvd Ste 305
Austin, TX 78751 - Phone
- (512) 476-5110
- Fax
- (512) 476-5178
Additional practice sites
- 9901 N Capital Of Texas Hwy Ste 120, Austin, TX
Registry record
- Primary taxonomy
- Pedorthist
224L00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas