Mr. Chaddrick Lendon Jack
Mr. Chaddrick Lendon Jack is an Independent Duty Corpsman in Corpus Christi, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
10651 E StCorpus Christi, TX 78419-5130
Phone: (361) 961-2688
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 1710I1002X (TX) |
|---|
Record details
| NPI number | 1922068246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2006 |
| Last updated in NPPES | February 6, 2008 |
| Mailing address | 10651 E St, Corpus Christi, TX 78419-5130 |
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