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General NPI Number Information
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NPI Number | 1447455860
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Entity Type | Individual
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Provider Name | JARED AMNARD VORACHARD MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 3201 S WATER ST
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City | BURNET
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State | TX
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Zip | 78611-4510
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Country | US
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Telephone | 512-756-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 ALMEDA RD APT 645
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City | HOUSTON
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State | TX
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Zip | 77021-1086
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Country | US
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Telephone | 713-842-1397
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M6939
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License Number State | TX
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