Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Isaiah Crutch

Individual provider Contractor · NPI 1962012138

Jackson Isaiah Crutch is a Contractor in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

8500 N Stemmons Fwy Ste 3052
Dallas, TX 75247-3969
Phone: (256) 665-1604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1962012138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address1845 E Northgate Dr # 245, Irving, TX 75062-9991

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