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Mr. Chaddrick Lendon Jack
Independent Duty Corpsman in Corpus Christi, Texas
NPI 1922068246

Chaddrick Lendon Jack is a Independent Duty Corpsman based in Corpus Christi, TX and is specialized in Independent Duty Corpsman. Chaddrick Lendon Jack practices in Corpus Christi, TX. The NPI Number for Chaddrick Lendon Jack is 1922068246 and holds a License No. 1710I1002X (Texas).

The current practice location address for Chaddrick Lendon Jack is 10651 E St, Corpus Christi, TX and can be reached out via phone at 361-961-2688.

Location: 10651 E St, Corpus Christi, TX, 78419-5130
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Provider Profile Details
NPI Number
1922068246
Provider Name
Chaddrick Lendon Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
10651 E St, Corpus Christi, TX, 78419-5130
Phone Number
361-961-2688
Fax Number
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710I1002X 01 TX INDEPENDENT DUTY CORPSMAN
institution
Provider Business Practice Location Address Details
Address
10651 E St
City
State
Zip
78419-5130
Phone Number
361-961-2688
Fax Number
person
Provider Business Mailing Address Details
Address
10651 E St
City
State
Zip
78419-5130
Phone Number
361-961-2688
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
License No.
1710I1002X (Texas)
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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