Individual provider · Type 1 NPI

Jackson Isaiah Crutch

Contractor · Dallas, TX

NPI number 1962012138 Active

Practice location

8500 N Stemmons Fwy Ste 3052
Dallas, TX 75247-3969

Call (256) 665-1604 Map

Mailing address

1845 E Northgate Dr # 245
Irving, TX 75062-9991

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1962012138

Jackson Isaiah Crutch's National Provider Identifier is 1962012138, issued on Aug 3, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 3, 2020.