Jenkins, Jerry H

Jenkins, Jerry H is an individual health care provider with primary practice located at 2427 Fm 3258 , Lufkin TX 75904-0683. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jenkins, Jerry H can be contacted via phone (936) 676-1030.

Contact Information

Primary practice address
2427 Fm 3258 Lufkin TX 75904-0683
Phone: (936) 676-1030
Fax: (936) 875-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J8603 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J8603 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X J8603 Texas

Profile Details

NPI number 1497783823
LBN Legal business name Jenkins, Jerry H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497783823 NPPES
Texas MEDICAID 172791901

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