Wander, Jason Fox

Wander, Jason Fox is an individual health care provider with primary practice located at 601 S Main St Ste 200 , Keller TX 76248-7028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wander, Jason Fox can be contacted via phone (817) 753-6888.

Contact Information

Primary practice address
601 S Main St Ste 200 Keller TX 76248-7028
Phone: (817) 753-6888
Fax: (817) 753-6885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N6762 Texas

Profile Details

NPI number 1538367313
LBN Legal business name Wander, Jason Fox
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Mar 21st, 2023 - about 3 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 1538367313 NPPES
Texas MEDICAID 217358501
Texas Other 8BN846

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