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Jasper Diagnostic Clinic
Primary Care Clinic/Center in Jasper, Texas
NPI 1801075957

Jasper Diagnostic Clinic is a Primary Care Clinic/Center based in Jasper, TX and is specialized in Primary Care. Jasper Diagnostic Clinic practices in Jasper, TX. The NPI Number for Jasper Diagnostic Clinic is 1801075957 and holds a License No. J4671 (Texas).

The current practice location address for Jasper Diagnostic Clinic is 300 Marvin Hancock Dr, Jasper, TX and can be reached out via phone at 409-383-1355 and via fax at 409-384-7276.

Location: 300 Marvin Hancock Dr, Jasper, TX, 75951-3480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801075957
Provider Name
Jasper Diagnostic Clinic
Credential
Provider Entity Type
Organization
Address
300 Marvin Hancock Dr, Jasper, TX, 75951-3480
Phone Number
409-383-1355
Fax Number
409-384-7276
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1442428 05 TX
institution
Provider Business Practice Location Address Details
Address
300 Marvin Hancock Dr
City
Jasper
State
Texas
Zip
75951-3480
Phone Number
409-383-1355
Fax Number
409-384-7276
person
Provider Business Mailing Address Details
Address
300 Marvin Hancock Dr
City
Jasper
State
Texas
Zip
75951-3480
Phone Number
409-383-1355
Fax Number
409-384-7276
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
J4671 (Texas)
Definition
Definition to come...
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