| Mr Jack David Capps, CRNA | |
|
2026 S Jackson St, Jacksonville, TX 75766-5822 | |
| (903) 541-4500 | |
| Not Available |
| Full Name | Mr Jack David Capps |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2026 S Jackson St, Jacksonville, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952325755 | NPI | - | NPPES |
| 3033002 | Medicaid | TX | |
| 88838U | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 236590 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack David Capps, CRNA Po Box 847522, Dallas, TX 75284-7522 Ph: (903) 531-5000 | Mr Jack David Capps, CRNA 2026 S Jackson St, Jacksonville, TX 75766-5822 Ph: (903) 541-4500 |
Mr. Martin E Rivera, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2626 S Jackson, Jacksonville, TX 75766 Phone: 903-541-4630 Fax: 903-586-5710 | |
Mr. Barry Lynn Thibodeaux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1463 Se Loop 456, Jacksonville, TX 75766 Phone: 903-589-1150 | |
David Newsom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766 Phone: 903-677-1000 Fax: 903-677-1694 | |
Timothy B Different, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 Fax: 903-541-4679 |