Jaaca Medical

NPI #1235487638 in Tyler, Texas

Provider Information

NPI Number: 1235487638
Entity Type: Organization
Organization Name: Jaaca Medical
Primary Specialty: Internal Medicine
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 9334 CHISHOLM TRL
City: Tyler
State: Texas
ZIP Code: 75703-0407
Phone: (903) 521-9861

Authorized Official

Name: DR. SANFORD WATKINS
Title: OWNER
Phone: (903) 521-9861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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