Jenks, Michael Jeffrey

Jenks, Michael Jeffrey is an individual health care provider with primary practice located at 930 E Campbell Rd Suite 106, Richardson TX 75081-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jenks, Michael Jeffrey can be contacted via phone (972) 234-4455.

Contact Information

Primary practice address
930 E Campbell Rd Suite 106 Richardson TX 75081-2047
Phone: (972) 234-4455
Fax: (972) 234-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L1083 Texas

Profile Details

NPI number 1538158365
LBN Legal business name Jenks, Michael Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 22nd, 2013 - about 11 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 1538158365 NPPES
Texas MEDICAID 141190202

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