Individual
DR. GARY KIMBLE JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4716 ALLIANCE BLVD, SUITE 310, PLANO, TX 75093-5371
(469) 800-6200
(469) 800-6210
Mailing address
4716 ALLIANCE BLVD, SUITE 310, PLANO, TX 75093-5371
(469) 800-6200
(469) 800-6210
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F1681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178010801
—
TX
Enumeration date
02/23/2006
Last updated
06/20/2023
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