JACK INGRAM

FT WORTH, TX
NPI1518412949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  BP10055948)
Enumeration Date2016-08-15
Last Update Date2016-08-15
Business Address
-- JACK INGRAM M.D.
1500 S MAIN ST
FT WORTH, TX 76104-4917
Phone number: 817-702-3431
Mailing Address
-- JACK INGRAM M.D.
1500 S MAIN ST
FT WORTH, TX 76104-4917
Phone number:
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