Individual
MR. JASON GRAHAM DEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5222
Mailing address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 747-6741
(325) 747-8435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
696743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838N77
BCBS
TX
01
—
TEMP 696743
APN LICENSE
TX
Enumeration date
09/09/2008
Last updated
06/30/2025
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