Jason Travis Loos M.D.

NPI 1396831772 - Pathology - 207ZP0102X

NPI Details
NPI 1396831772
Gender Male
Enumeration Date 10/05/2006
Last Updated 06/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2000 S PALESTINE ST
ATHENS TX, 75751-5610, US
Phone (972) 404-9345
Fax (972) 404-2506
Business Location
14275 MIDWAY RD
SUITE 400
ADDISON TX, 75001-3614, US
Phone
Fax (214) 932-8284
Toxanomy
Taxonomy Code 207ZP0102X
License State Texas
License Number M3820
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According to our database, Mr. Jason Travis Loos M.D. NPI is 1396831772, taxonomy code is 207ZP0102X and license number is M3820, license state is located at Texas. Jason Travis Loos M.D. physically located at 2000 S Palestine St, Athens TX, 75751-5610. NPI Number Jason Travis Loos M.D. has the Individual type.

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1396831772 NPI number is provided on an as is basis without warranty of any kind. 1396831772 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Travis Loos M.D. are for informational purposes only.