Jack Ingram, M.D.

NPI #1518412949 in Ft Worth, Texas

Provider Information

NPI Number
1518412949
Entity Type
Individual
Name
Jack Ingram, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
M.D.
Enumeration Date
Aug 15, 2016
Last Updated
Aug 15, 2016

Practice Location

Address
1500 S MAIN ST
State
Texas
ZIP Code
76104-4917
Phone
(817) 702-3431

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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