Mr Jack David Capps, CRNA | |
2026 S Jackson St, Jacksonville, TX 75766-5822 | |
(903) 541-4500 | |
Not Available |
Full Name | Mr Jack David Capps |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2026 S Jackson St, Jacksonville, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952325755 | NPI | - | NPPES |
3033002 | Medicaid | TX | |
88838U | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 236590 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jack David Capps, CRNA Po Box 847522, Dallas, TX 75284-7522 Ph: (903) 531-5000 | Mr Jack David Capps, CRNA 2026 S Jackson St, Jacksonville, TX 75766-5822 Ph: (903) 541-4500 |
Mr. Barry Lynn Thibodeaux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1463 Se Loop 456, Jacksonville, TX 75766 Phone: 903-589-1150 | |
David Newsom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766 Phone: 903-677-1000 Fax: 903-677-1694 | |
Timothy B Different, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 Fax: 903-541-4679 |