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Jakob Creed

NPI 1245931153 · on the registry since 2023 · sole proprietor

Practice

Address
224 W D. L. Ingram Ave
1408
Cannon Afb, NM 88101
Phone
(832) 472-1645
Clinicians at this address
46

Registry record

Primary taxonomy
1710I1003X
1710I1003X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-11

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 New Mexico