Individual
JERRY B JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
(903) 439-4040
Mailing address
PO BOX 100, PARIS, TX 75461-0100
(903) 785-6029
(903) 785-5421
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D4169
TX
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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