Jack Ni
Jack Ni is an Internal Medicine in Fort Worth, Texas. Qualified in 2015, 11 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 11
- Licensed in
- TX
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Partly verified
Baylor Scott & White All Saints Medical Center 1400 8th AveFort Worth, TX 76104-4192
Phone: (817) 926-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence R4609 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1992198188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 11, 2015 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Healthtexas Provider Network — 2539 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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