Individual
MR. JODY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-2668
Mailing address
3131 COUNTY ROAD 3707, BULLARD, TX 75757-5595
(903) 574-2127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
678892
TX
Other
Enumeration date
01/18/2007
Last updated
06/30/2023
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