Individual
JASON SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
698 WESTSIDE DR STE 110, DURANT, OK 74701-3085
Mailing address
5012 US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 75020-4589
(580) 920-1922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02526
TX
Other
Enumeration date
06/22/2006
Last updated
03/17/2018
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