Jett, Gary Kimble

Jett, Gary Kimble is an individual health care provider with primary practice located at 4716 Alliance Blvd Suite 310, Plano TX 75093-5371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Jett, Gary Kimble can be contacted via phone (469) 800-6200.

Contact Information

Primary practice address
4716 Alliance Blvd Suite 310 Plano TX 75093-5371
Phone: (469) 800-6200
Fax: (469) 800-6210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X F1681 Texas

Profile Details

NPI number 1184690810
LBN Legal business name Jett, Gary Kimble
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 20th, 2023 - about last year

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 1184690810 NPPES
Texas MEDICAID 0178010801

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