Jean, Alan B

Jean, Alan B is an individual health care provider with primary practice located at 4102 Richmond Mdws , Texarkana TX 75503-0067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jean, Alan B can be contacted via phone (903) 223-1014.

Contact Information

Primary practice address
4102 Richmond Mdws Texarkana TX 75503-0067
Phone: (903) 223-1014
Fax: (903) 223-1028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G7247 Texas

Profile Details

NPI number 1073504742
LBN Legal business name Jean, Alan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 9th, 2012 - about 12 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 1073504742 NPPES
Texas MEDICAID 117999601
Texas MEDICAID 105242001

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