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NPI 1578751624

NPI 1578751624 : JACK C. ASKINS, M.D. : WICHITA FALLS, TX

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General NPI Number Information
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    NPI Number           |    1578751624
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    Entity Type          |    Organization 
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    Legal Business Name  |    JACK C. ASKINS, M.D. 
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Dates
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    Enumeration Date     |    10/12/2007
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    Last Update Date     |    08/15/2012
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Provider Practice Location Address
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    Address Line         |    5500 KELL BLVD SUITE 400
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76310-1612
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    Country              |    US
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    Telephone            |    940-761-1201
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    Fax                  |    940-761-1692
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Provider Business Mailing Address
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    Address Line         |    5500 KELL BLVD SUITE 400
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76310-1612
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    Country              |    US
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    Telephone            |    940-761-1201
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    Fax                  |    940-761-1692
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. MARILYN  ASKINS 
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    Credential           |    
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    Telephone            |    940-761-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    
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    License Number State |    
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