Jerrod Alan Taber, PA-C

NPI #1407184476 in Burnet, Texas

Provider Information

NPI Number: 1407184476
Entity Type: Individual
Name: Jerrod Alan Taber, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 2, 2009
Last Updated: Jul 7, 2016

Practice Location

Address: 200 COUNTY ROAD 340A
Address 2: BLDG II, SUITE B-C
City: Burnet
State: Texas
ZIP Code: 78611-4537
Phone: (830) 693-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X

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