Individual
ADAM KEITH JANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 FISH POND RD, WACO, TX 76710-1031
(254) 761-4444
(254) 761-4441
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q8266
TX
Other
Enumeration date
05/09/2014
Last updated
09/16/2020
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