person
Jack D Runyan, PA,PHD
Medical Physician Assistant in Fairfield, Texas
NPI 1245476282

Jack D Runyan is a Medical Physician Assistant based in Fairfield, TX and is specialized in Medical. Jack D Runyan practices in Fairfield, TX and has the professional credentials of PA,PHD. The NPI Number for Jack D Runyan is 1245476282 and holds a License No. PA 01154 (Texas).

The current practice location address for Jack D Runyan is 734 W Commerce St, Fairfield, TX and can be reached out via phone at 956-572-4000.

Location: 734 W Commerce St, Fairfield, TX, 75840-1428
person
Provider Profile Details
NPI Number
1245476282
Provider Name
Jack D Runyan
Credential
PA,PHD
Provider Entity Type
Individual
Gender
Male
Address
734 W Commerce St, Fairfield, TX, 75840-1428
Phone Number
956-572-4000
Fax Number
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
734 W Commerce St
City
State
Zip
75840
Phone Number
956-572-4000
Fax Number
person
Provider Business Mailing Address Details
Address
734 W Commerce St
City
State
Zip
75840
Phone Number
956-572-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 01154 (Texas)
Definition
Definition to come...
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