Jansma, David G

Jansma, David G is an individual health care provider with primary practice located at 3000 Herring Ave , Waco TX 76708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jansma, David G can be contacted via phone (254) 202-2000.

Contact Information

Primary practice address
3000 Herring Ave Waco TX 76708
Phone: (254) 202-2000
Fax: (254) 753-6229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X E0062 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E0062 Texas

Profile Details

NPI number 1013941665
LBN Legal business name Jansma, David G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 13th, 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 1013941665 NPPES
Texas MEDICAID 133852705
Texas MEDICAID 133852708

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