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NPI Code Detail

MEDICARE: MR. JEFFREY DALE CURTIS PA-C

MEDICARE: MR. JEFFREY DALE CURTIS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA02818TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01833800OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1895N91OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508040973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY DALE CURTIS PA-C
Provider Business Mailing Address
First Line : 2901 ACME BRICK PLAZA
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4124
Country : US
Telephone Number : 817-529-1900
Fax Number : 817-529-1910
Provider Business Practice Location Address
First Line : 2901 ACME BRICK PLZ
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4124
Country : US
Telephone Number : 817-529-1900
Fax Number : 817-529-1910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2007
Last Update Date : 10/08/2020

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1720226509 — SAMUEL LEON NIXON DPT
Practice Location Address:
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