Individual
MR. JACK ROBERT THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
9839 ELMCREST DR, DALLAS, TX 75238-1831
(214) 335-9717
Mailing address
9839 ELMCREST DR, DALLAS, TX 75238-1831
(214) 335-9717
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1032756
TX
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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