Jett, Gary Kimble
Jett, Gary Kimble is an individual health care provider with primary practice located at 4716 Alliance Blvd Suite 310, Plano TX 75093-5371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Jett, Gary Kimble can be contacted via phone (469) 800-6200.Contact Information
Primary practice address
4716 Alliance Blvd Suite 310
Plano TX 75093-5371
Phone: (469) 800-6200
Fax: (469) 800-6210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | F1681 | Texas |
Profile Details
| NPI number | 1184690810 |
|---|---|
| LBN Legal business name | Jett, Gary Kimble |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jun 20th, 2023 - about 3 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 | 1184690810 | NPPES |
| Texas | MEDICAID | 0178010801 |
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