Jordan Moore

NPI 1467243808 · on the registry since 2025

Practice

Address: 1807 W Slaughter Ln
Austin, TX 78748
Phone: (512) 282-8967
Organisation at this address: Icon Family Dentistry Pa
Pro Motion Physical Therapy Llc
Absolute Life Wellness Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 2471C3402X
2471C3402X
Also registered as: 2471C3401X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-15

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