Ingram, Jack

Ingram, Jack is an sole proprietor health care provider with primary practice located at 1500 S Main St , Ft Worth TX 76104-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ingram, Jack can be contacted via phone (817) 702-3431.

Contact Information

Primary practice address
1500 S Main St Ft Worth TX 76104-4917
Phone: (817) 702-3431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X BP10055948 Texas

Profile Details

NPI number 1518412949
LBN Legal business name Ingram, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2016
Last updated Aug 15th, 2016 - about 10 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.

Request for update

Popular Providers