SearchTexas101YA0400X

Jason King

NPI 1750899225 · on the registry since 2018 · sole proprietor

Practice

Address
9705 Polk Ave
Fort Worth, TX 76177
Phone
(817) 847-1610

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-17

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