Jack A Maxwell, DO

NPI #1679585087 in Hickory Creek, Texas

Provider Information

NPI Number: 1679585087
Entity Type: Individual
Name: Jack A Maxwell, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 13, 2006
Last Updated: Feb 1, 2012

Practice Location

Address: 3600 FM 2181 STE 100
City: Hickory Creek
State: Texas
ZIP Code: 75065-7636
Phone: (940) 497-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Sleep Medicine — Sleep Medicine	207QS1201X

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