Dexter, Jason Graham

Dexter, Jason Graham is an sole proprietor health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dexter, Jason Graham can be contacted via phone (325) 657-5222.

Contact Information

Primary practice address
120 E Harris Ave San Angelo TX 76903-5904
Phone: (325) 657-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 696743 Texas

Profile Details

NPI number 1316196827
LBN Legal business name Dexter, Jason Graham
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Mar 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316196827 NPPES
Texas Other TEMP 696743 APN LICENSE
Texas Other 838N77 APN LICENSE

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