Individual
JAKE H KRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1367 DOMINION PLZ, TYLER, TX 75703-1013
(903) 534-6200
(903) 939-0755
Mailing address
4031 W PLANO PKWY, SUITE 100, PLANO, TX 75093-5619
(972) 985-1072
(972) 596-9382
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
01/07/2013
Last updated
10/11/2023
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