Organization · Type 2 NPI
Jacob Mayberry Assisting Services
Surgical Physician Assistant · Bridgeport, TX
NPI number
1184950784
Active
Practice location
104 Blue Water Dr
Bridgeport, TX 76426-4336
Fax (281) 463-6835
Mailing address
PO Box 2201
Decatur, TX 76234-6158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | C080326A (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1184950784
Jacob Mayberry Assisting Services's National Provider Identifier is 1184950784, issued on Nov 2, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, TX. The record was last updated on Aug 19, 2014.