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Jacob Waldecker
NPI 1801549035 · on the registry since 2022
Practice
- Address
- 14651 Horizon Blvd
Horizon City, TX 79928 - Phone
- (270) 823-3597
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-28
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