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NPI Code Detail

MEDICARE: JAYNEE LYNN PURCHASE

MEDICARE:   JAYNEE LYNN PURCHASE
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
1247200000XOther Technician

General Provider Information

NPI Number : 1992251987
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYNEE LYNN PURCHASE
Provider Business Mailing Address
First Line : 7424 SPRING LEA WAY
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-7728
Country : US
Telephone Number : 817-658-1880
Fax Number :
Provider Business Practice Location Address
First Line : 7424 SPRING LEA WAY
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-7728
Country : US
Telephone Number : 817-658-1880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2016
Last Update Date : 08/30/2016

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Directions to “ JAYNEE LYNN PURCHASE ” Practice Location

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