Ysasaga, Jason Edward

Ysasaga, Jason Edward is an individual health care provider with primary practice located at 7411 Wallace Blvd , Amarillo TX 79106-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ysasaga, Jason Edward can be contacted via phone (806) 351-1870.

Contact Information

Primary practice address
7411 Wallace Blvd Amarillo TX 79106-1835
Phone: (806) 351-1870
Fax: (806) 355-1284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L4182 Texas

Profile Details

NPI number 1356310734
LBN Legal business name Ysasaga, Jason Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 6th, 2013 - about 13 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 1356310734 NPPES
Texas MEDICAID 150770901
Texas MEDICAID 150770903
Texas Other 8G3580

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