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NPI Code Detail

MEDICARE: JOSEPH WILSON JARVIS

MEDICARE: JOSEPH WILSON JARVIS
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
1237700000XHearing Instrument Specialist80292TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073759684
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH WILSON JARVIS
Provider Business Mailing Address
First Line : 26222 RR 12
Second Line :
City : DRIPPING SPRINGS
State : TX
Zip : 78620-4903
Country : US
Telephone Number : 512-858-2714
Fax Number :
Provider Business Practice Location Address
First Line : 26222 RR 12
Second Line :
City : DRIPPING SPRINGS
State : TX
Zip : 78620-4903
Country : US
Telephone Number : 512-858-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2009
Last Update Date : 11/24/2009

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Directions to “ JOSEPH WILSON JARVIS ” Practice Location

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