Individual
JASON PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. A.
Contact information
Practice address
1322 W MAIN ST, ANTLERS, OK 74523-2016
(580) 298-9958
Mailing address
2 SUMMER GLENN PL, TEXARKANA, TX 75503-0430
(903) 293-2975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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