Lookup NPI Numbers from the NPI Registry
NPI Profile for JACK D RUNYAN in FAIRFIELD, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1245476282 |
|
| Status | Active | |
| Credentials | PA, PHD | |
| Entity | Individual | |
| Enumeration date | 12/22/2008 | |
| Last updated | 08/07/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACK D RUNYAN, PA, PHD