Holcombe, Jordan L
Holcombe, Jordan L is an individual health care provider with primary practice located at 6301 Harris Pkwy Ste 300 , Fort Worth TX 76132-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Holcombe, Jordan L can be contacted via phone (817) 877-3432.Contact Information
Primary practice address
6301 Harris Pkwy Ste 300
Fort Worth TX 76132-4245
Phone: (817) 877-3432
Fax: (817) 346-4394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA08329 | Texas |
Profile Details
| NPI number | 1992042923 |
|---|---|
| LBN Legal business name | Holcombe, Jordan L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2013 |
| Last updated | Nov 5th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992042923 | NPPES |
| Texas | MEDICAID | 323432001 |
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