Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK A MAXWELL, DO
ActiveJACK A MAXWELL, DO is a Family Medicine healthcare provider located in HICKORY CREEK, Texas. NPI 1679585087 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HICKORY CREEK, TX
Registration Details
- NPI Number
- 1679585087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (20.00607927938 yrs)
- Last Updated
- Feb 1, 2012
- Licenses
-
G9368 (TX)2869 (TX)
Practice Information
- Address
-
3600 FM 2181 STE 100HICKORY CREEK, TX, 750657636Browse TX providers · Browse ZIP 75065
- Phone
- 9404972204
- Fax
- 9403214977
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Sleep Medicine
Other Family Medicine Providers in HICKORY CREEK, TX
| Name | Credential | NPI |
|---|---|---|
| STEPHEN A GLASER | DO | 1063525806 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.