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Search › Texas › 363LA2100X

Jacob Kelton

NPI 1730583840 · on the registry since 2014 · sole proprietor

Practice

Address
2600 Saint Michael Dr
Texarkana, TX 75503
Phone
(903) 826-3439
Organisation at this address
Txar 501a Corporation
Cla Surgical Assisting
Heather Pennington, Rnfa
Obhg Texas Holdings, P.A.
Christus Health Ark-La-Tex
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363L00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-02

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