| NPI | 1083614366 |
|---|---|
| Former Legal Business Name | JACK DAUBERT, M.D., P.A. |
| Entity Type | Organization |
| Authorized Contact | GEORGE L NEAL President 469-214-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-04-24 |