Jason Graham Dexter NP

NPI 1316196827 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1316196827
Gender Male
Enumeration Date 09/09/2008
Last Updated 03/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
120 E HARRIS AVE
SAN ANGELO TX, 76903-5904, US
Phone (325) 657-5222
Fax
Business Location
1702 EVELYN ST
SAN ANGELO TX, 76905-8154, US
Phone (325) 651-8148
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Texas
License Number 696743
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According to our database, Mr. Jason Graham Dexter NP NPI is 1316196827, taxonomy code is 363L00000X and license number is 696743, license state is located at Texas. Jason Graham Dexter NP physically located at 120 E Harris Ave, San Angelo TX, 76903-5904. NPI Number Jason Graham Dexter NP has the Individual type.

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1316196827 NPI number is provided on an as is basis without warranty of any kind. 1316196827 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Graham Dexter NP are for informational purposes only.