Individual
EMILIO JACQUES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H9352
TX
207X00000X
Orthopaedic Surgery Physician
Primary
H9352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0132476
DPS
TX
Enumeration date
05/14/2010
Last updated
12/23/2010
Update your record
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