Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Chaddrick Lendon Jack

Individual provider Independent Duty Corpsman · NPI 1922068246

Mr. Chaddrick Lendon Jack is registered under Independent Duty Corpsman in Corpus Christi, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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Practice location Address checks out

10651 E St
Corpus Christi, TX 78419-5130 Not confirmed with CMS for 18 years — call before visiting
Phone: (361) 961-2688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 1710I1002X (TX)

Record details

NPI number1922068246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESFebruary 6, 2008

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