Individual provider · Type 1 NPI

Jacob Fletcher, PA-C

Surgical Physician Assistant · Waco, TX

NPI number 1194488585 Active

Practice location

140 Hillcrest Medical Blvd Ste 2
Waco, TX 76712-8897

Mailing address

PO Box 848491
Dallas, TX 75284-8491

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XPA15200 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1194488585

Jacob Fletcher, PA-C's National Provider Identifier is 1194488585, issued on Oct 21, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waco, TX. The record was last updated on Dec 7, 2021.