Search › Texas › 364S00000X
Jacob Mayberry, AS-C
NPI 1437311081 · on the registry since 2008 · sole proprietor
Practice
- Address
- 104 Blue Water Dr
Bridgeport, TX 76426 - Phone
- (940) 683-8078
- Fax
- (940) 683-8078
- Organisation at this address
- Jacob Mayberry Assisting Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 364S00000X
364S00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-25
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