Individual provider · Type 1 NPI
Jack D. Runyan, PA, PhD
Medical Physician Assistant · Fairfield, TX
NPI number
1245476282
Active
Practice location
734 W Commerce St
Fairfield, TX 75840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 01154 (TX) |
Medical Physician Assistant: Definition to come...
8 other providers at this address
- East Texas Medical Center Home ServicesCommunity Based Hospice Care Agency Fairfield, TX NPI 1710986807
- East Texas Medical Center Home ServicesHome Health Agency Fairfield, TX NPI 1801895719
- Fairfield Hospital DistrictRural Health Clinic/Center Fairfield, TX NPI 1093263501
- Darryl White, MDFamily Medicine Physician Fairfield, TX NPI 1154316974
- Katrina Logan, FNP-BCFamily Nurse Practitioner Fairfield, TX NPI 1720753700
- Kayla Sierra Farmer, APRN, FNP-SFamily Nurse Practitioner Fairfield, TX NPI 1184180044
- Mark Waweru, MDFamily Medicine Physician Fairfield, TX NPI 1871918565
- Stacy Ann Gallegos, FNPFamily Nurse Practitioner Fairfield, TX NPI 1568987071
About NPI 1245476282
Jack D. Runyan, PA, PhD's National Provider Identifier is 1245476282, issued on Dec 22, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfield, TX. The record was last updated on Aug 7, 2018.