Individual
DR. MANUEL JUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S MAIN ST, SHAMROCK, TX 79079-2820
(806) 256-2114
(806) 352-8774
Mailing address
PO BOX 8337, AMARILLO, TX 79114-8337
(806) 355-6593
(806) 352-8774
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J6139
TX
208000000X
Pediatrics Physician
J6139
TX
208D00000X
General Practice Physician
Primary
J6139
TX
Other
Enumeration date
03/09/2006
Last updated
10/03/2011
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