Jack D Runyan, PA, PHD

NPI #1245476282 in Fairfield, Texas

Provider Information

NPI Number
1245476282
Entity Type
Individual
Name
Jack D Runyan, PA, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA, PHD
Enumeration Date
Dec 22, 2008
Last Updated
Aug 7, 2018

Practice Location

Address
734 W COMMERCE ST
State
Texas
ZIP Code
75840
Phone
(956) 572-4000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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