Disney, Jason R

Disney, Jason R is an individual health care provider with primary practice located at 713 E Anderson St , Weatherford TX 76086-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Disney, Jason R can be contacted via phone (817) 596-8751.

Contact Information

Primary practice address
713 E Anderson St Weatherford TX 76086-5705
Phone: (817) 596-8751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L0132 Texas

Profile Details

NPI number 1407803125
LBN Legal business name Disney, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Feb 5th, 2008 - about 16 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 1407803125 NPPES
Texas MEDICAID 132119207
Texas Other 0040GU

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