Individual
MR. JEFFREY DALE CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2901 ACME BRICK PLZ, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Mailing address
2901 ACME BRICK PLAZA, FORT WORTH, TX 76109-4124
(817) 529-1900
(817) 529-1910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391226301
—
TX
01
—
895N91
BCBS
TX
01
—
P01833800
MEDICARE RAILROAD
TX
Enumeration date
12/20/2007
Last updated
10/08/2020
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