Individual
JACQUES WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-0207
(214) 648-6400
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132751
TX
367500000X
Certified Registered Nurse Anesthetist
STU020282
LA
Other
Enumeration date
03/29/2016
Last updated
05/19/2020
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