Organization
JASPER DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAURABH SINGH M.D. (OWNER)
(409) 383-1355
Entity
Organization
Contact information
Practice address
300 MARVIN HANCOCK DR, JASPER, TX 75951-3480
(409) 383-1355
(409) 384-7276
Mailing address
300 MARVIN HANCOCK DR, JASPER, TX 75951-3480
(409) 383-1355
(409) 384-7276
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J4671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442428
—
TX
Enumeration date
10/25/2007
Last updated
10/25/2007
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