Mabery, Jared Blaine

Mabery, Jared Blaine is an individual health care provider with primary practice located at 2400 Round Rock Ave , Round Rock TX 78681-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mabery, Jared Blaine can be contacted via phone (512) 341-1000.

Contact Information

Primary practice address
2400 Round Rock Ave Round Rock TX 78681-4004
Phone: (512) 341-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X K7809 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K7809 Texas

Profile Details

NPI number 1205884202
LBN Legal business name Mabery, Jared Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 21st, 2011 - about 13 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 1205884202 NPPES
Texas MEDICAID 122080805
Texas MEDICAID 122080807
Texas Other P00967092

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