Individual
DR. MARK LAWRENCE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 553-6228
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(254) 553-6228
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
219194
NY
Other
Enumeration date
03/27/2007
Last updated
05/13/2025
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