SearchTexas183700000X

Jacob King, CPHT

NPI 1972183010 · on the registry since 2021

Practice

Address
200 W Us Highway 80
White Oak, TX 75693
Phone
(903) 297-9896
Organisation at this address
Walgreen Co
Brookshire Grocery Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-13

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