Price, Jack Donathan

Price, Jack Donathan is an individual health care provider with primary practice located at 6606 Lbj Fwy Suite 200, Dallas TX 75240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Price, Jack Donathan can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Suite 200 Dallas TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 650845 Texas

Profile Details

NPI number 1669461869
LBN Legal business name Price, Jack Donathan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669461869 NPPES
Texas Other 8610UJ BCBS
Texas Other P01446643 BCBS
Texas MEDICAID 1424954-01 BCBS
Texas MEDICAID 142495408 BCBS

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