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Jeston Wade Craig
Student in an Organized Health Care Education/Training Program in Burnet, Texas
NPI 1134693617

Jeston Wade Craig is a Student in an Organized Health Care Education/Training Program based in Burnet, TX. Jeston Wade Craig practices in Burnet, TX. The NPI Number for Jeston Wade Craig is 1134693617 and holds a License No. (Texas).

The current practice location address for Jeston Wade Craig is 102 S Boundary St, Burnet, TX and can be reached out via phone at 512-755-6603.

Location: 102 S Boundary St, Burnet, TX, 78611-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134693617
Provider Name
Jeston Wade Craig
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 S Boundary St, Burnet, TX, 78611-3202
Phone Number
512-755-6603
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 S Boundary St
City
Burnet
State
Texas
Zip
78611-3202
Phone Number
512-755-6603
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Boundary St
City
Burnet
State
Texas
Zip
78611-3202
Phone Number
512-755-6603
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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