Myers, Jerry K
Myers, Jerry K is an sole proprietor health care provider with primary practice located at 5500 Kell Blvd Suite 100, Wichita Falls TX 76310-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Myers, Jerry K can be contacted via phone (940) 696-5335.Contact Information
Primary practice address
5500 Kell Blvd Suite 100
Wichita Falls TX 76310-1612
Phone: (940) 696-5335
Fax: (940) 696-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E2757 | Texas |
Profile Details
| NPI number | 1851399505 |
|---|---|
| LBN Legal business name | Myers, Jerry K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 19th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851399505 | NPPES |
| Texas | MEDICAID | 110622103 | |
| Texas | Other | 81720X | |
| Texas | Other | 081928184 |
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