Individual
JOHN JACOB HUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0004
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102204776
VA
2085R0202X
Diagnostic Radiology Physician
Primary
U5987
TX
Other
Enumeration date
06/03/2015
Last updated
05/06/2024
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