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1255678975
JASON ADAM JACQUE
AUSTIN, TX
NPI
1255678975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX Q8915)
Enumeration Date
2013-01-15
Last Update Date
2022-02-22
Business Address
JASON ADAM JACQUE MD
5245 W HIGHWAY 290
AUSTIN, TX 78735-8963
Phone number: 512-654-2100
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Mailing Address
JASON ADAM JACQUE MD
PO BOX 840003
DALLAS, TX 75284-0003
Phone number: 254-724-2111
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