Jacob Mayberry Assisting Services
NPI #1184950784 in Bridgeport, Texas
Provider Information
- NPI Number
- 1184950784
- Entity Type
- Organization
- Organization Name
- Jacob Mayberry Assisting Services
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Nov 2, 2009
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 104 BLUE WATER DR
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-4336
- Phone
- (281) 463-6309
Authorized Official
- Name
- JACOB MAYBERRY, CFA
- Title
- OWNER
- Phone
- (281) 463-6309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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