Jacks, Randal K

Jacks, Randal K is an individual health care provider with primary practice located at 774 Landa St , New Braunfels TX 78130-6114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jacks, Randal K can be contacted via phone (830) 625-0305.

Contact Information

Primary practice address
774 Landa St New Braunfels TX 78130-6114
Phone: (830) 625-0305
Fax: (830) 625-2693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G8195 Texas

Profile Details

NPI number 1356314124
LBN Legal business name Jacks, Randal K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 2nd, 2011 - 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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