Individual
JAKE C LENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6700 W 9TH AVE, AMARILLO, TX 79106-1729
(806) 358-0200
(806) 356-5511
Mailing address
6700 W 9TH AVE, AMARILLO, TX 79106-1729
(806) 358-0200
(806) 356-5511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G2422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100664503
—
TX
Enumeration date
06/14/2006
Last updated
03/26/2015
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