Jaquiss, Robert

Jaquiss, Robert is an individual health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Jaquiss, Robert can be contacted via phone (214) 456-5000.

Contact Information

Primary practice address
1935 Medical District Dr Dallas TX 75235-7701
Phone: (214) 456-5000
Fax: (214) 456-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X E-4664 Arkansas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X R1549 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X E-4664 Arkansas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2010-01391 North Carolina

Profile Details

NPI number 1356432553
LBN Legal business name Jaquiss, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 12th, 2017 - about 8 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 1356432553 NPPES
Arkansas MEDICAID 158664001

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