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Jerry Thomas Light JR., MD
Vascular Surgery Physician in Bedford, Texas
NPI 1831198720

Jerry Thomas Light JR. is a Vascular Surgery Physician based in Bedford, TX and is specialized in Vascular Surgery. Jerry Thomas Light JR. practices in Bedford, TX and has the professional credentials of MD. The NPI Number for Jerry Thomas Light JR. is 1831198720 and holds a License No. K3785 (Texas).

The current practice location address for Jerry Thomas Light JR. is 1604 Hospital Pkwy Ste 501, Bedford, TX and can be reached out via phone at 817-684-2700 and via fax at 817-684-2709.

Location: 1604 Hospital Pkwy Ste 501, Bedford, TX, 76022-6932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831198720
Provider Name
Jerry Thomas Light JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1604 Hospital Pkwy Ste 501, Bedford, TX, 76022-6932
Phone Number
817-684-2700
Fax Number
817-684-2709
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046401803 05 TX
institution
Provider Business Practice Location Address Details
Address
1604 Hospital Pkwy Ste 501
City
Bedford
State
Texas
Zip
76022-6932
Phone Number
817-684-2700
Fax Number
817-684-2709
person
Provider Business Mailing Address Details
Address
1604 Hospital Pkwy Ste 501
City
Bedford
State
Texas
Zip
76022-6932
Phone Number
817-684-2700
Fax Number
817-684-2709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
K3785 (Texas)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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