Children's Clinic of Jasper

NPI #1093168049 in Jasper, Texas

Provider Information

NPI Number: 1093168049
Entity Type: Organization
Organization Name: Children's Clinic of Jasper
Primary Specialty: Pediatrics
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 1008 DICKERSON DR
City: Jasper
State: Texas
ZIP Code: 75951-5111
Phone: (936) 634-2214

Authorized Official

Name: CHERE CROCKER
Title: OFFICE MANAGER
Phone: (936) 634-2214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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