Jackie (Jack) Rurak, ATP #64040

NPI 1730502279 · on the registry since 2014

Practice

Address: 604 N Nolan River Rd
Cleburne, TX 76033
Phone: (817) 645-4718
Fax: (817) 641-2960
Organisation at this address: Texas Dme Inc
Travis Medical Sales Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Other Technician
247200000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-03

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