| Jerry H. Jenkins, M.d., P.a. | |
|
1105 W Frank Ave Suite 290 Lufkin TX 75904-3303 | |
| (936) 699-5040 | |
| (936) 699-5039 |
| Full Name | Jerry H. Jenkins, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1105 W Frank Ave, Lufkin, Texas |
| Authorized Official Name and Position | Jerry H. Jenkins (PRESIDENT) |
| Authorized Official Contact | 9366995040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry H. Jenkins, M.d., P.a. 1105 W Frank Ave Suite 290 Lufkin TX 75904-3303 Ph: (936) 699-5040 | Jerry H. Jenkins, M.d., P.a. 1105 W Frank Ave Suite 290 Lufkin TX 75904-3303 Ph: (936) 699-5040 |
| NPI Number | 1407946205 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407946205 | NPI | - | NPPES |
| 124479006 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J8603 (Texas) | Primary |
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