Mr. Jake Powell
Mr. Jake Powell is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
1500 S Main StFort Worth, TX 76104-4917
Phone: (817) 702-3000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (TX) |
|---|
Record details
| NPI number | 1730855420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2021 |
| Last updated in NPPES | March 25, 2022 |
| Certification date | March 25, 2022 |
| Mailing address | 1500 S Main St, Fort Worth, TX 76104-4917 |
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