JARED MATTHEW STATEN

FORT CAVAZOS, TX
NPI1659169902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10091432)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
JARED MATTHEW STATEN MD
590 MEDICAL CENTER RD
FORT CAVAZOS, TX 76544-5060
Phone number: 254-288-8000
Mailing Address
JARED MATTHEW STATEN MD
1441 N 64TH ST
WAUWATOSA, WI 53213-2931
Phone number: 505-814-9471
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