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Jimmy Wardlaw
NPI 1154691434 · on the registry since 2012 · sole proprietor
Practice
- Address
- 107 Scenic Dr
Rockwall, TX 75032 - Phone
- (972) 771-8602
- Fax
- (972) 771-8602
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas