Jack, Wm David

Jack, Wm David is an individual health care provider with primary practice located at 1521 South Staples Suite 700, Corpus Christi TX 78404-3160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jack, Wm David can be contacted via phone (361) 888-8271.

Contact Information

Primary practice address
1521 South Staples Suite 700 Corpus Christi TX 78404-3160
Phone: (361) 888-8271
Fax: (361) 885-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E3023 Texas

Profile Details

NPI number 1497756662
LBN Legal business name Jack, Wm David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 9th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497756662 NPPES
Texas MEDICAID 129677404

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