Individual
JASON D. MCCANDLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-430
AR
363AM0700X
Medical Physician Assistant
Primary
PA07396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284586901
—
TX
Enumeration date
03/09/2011
Last updated
05/15/2014
Update your record
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