Individual
JACOB ORCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8579
(214) 648-2679
(214) 648-8423
Mailing address
1454 E HARRISON AVE, SALT LAKE CITY, UT 84105-2612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R8632
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
01/20/2020
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