Jessie, Adrian Craig
Jessie, Adrian Craig is an sole proprietor health care provider with primary practice located at 1407 N. University Dr Ste C, Nacogdoches TX 75961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jessie, Adrian Craig can be contacted via phone (936) 462-7575.Contact Information
Primary practice address
1407 N. University Dr Ste C
Nacogdoches TX 75961
Phone: (936) 462-7575
Fax: (936) 462-7274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J5360 | Texas |
Profile Details
| NPI number | 1578520425 |
|---|---|
| LBN Legal business name | Jessie, Adrian Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | May 24th, 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 | 1578520425 | NPPES |
| Texas | MEDICAID | 1258667-07 | |
| Texas | MEDICAID | 1258667-05 |
Popular Providers
-
White, Toni Irene
4848 Ne Stallings Dr Ste 104 Suite 104, Nacogdoches TX 75965-1256 -
Labarbera, Philip Theodore
4944 Ne Stallings Dr , Nacogdoches TX 75965-1265 -
Coffman, Dennis Wayne
4800 Ne Stallings Suite 111, Nacogdoches TX 75965 -
Tomsic, Kevin L
627 Russell Blvd , Nacogdoches TX 75965-1247 -
Emborgo, Edwin Concerman
1023 N Mound St Suite A, Nacogdoches TX 75961-4491 -
Robinson, Lawrence Quinn
1204 N Mound St , Nacogdoches TX 75961-4027 -
Stephens, Kevin Wayne
1018 N Mound St Ste 101 , Nacogdoches TX 75961-4434 -
Fearing, Olin Kirk
3618 N. University Dr. , Nacogdoches TX 75965