Jared Daniel Jacques, PA-C

NPI #1720840218 in Tyler, Texas

Provider Information

NPI Number: 1720840218
Entity Type: Individual
Name: Jared Daniel Jacques, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 29, 2024
Last Updated: Mar 18, 2024

Practice Location

Address: 627 TURTLE CREEK DR
City: Tyler
State: Texas
ZIP Code: 75701-1832
Phone: (903) 593-2539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

Additional Practice Locations

816 W Cannon St

Ft Worth, TX, 76104-3194

(817) 321-0499

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