Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHADDRICK LENDON JACK
ActiveMR. CHADDRICK LENDON JACK is a Independent Duty Corpsman healthcare provider located in CORPUS CHRISTI, Texas. NPI 1922068246 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · CORPUS CHRISTI, TX
Registration Details
- NPI Number
- 1922068246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2006 (20.352908800203 yrs)
- Last Updated
- Feb 6, 2008
- License
-
1710I1002X (TX)
Practice Information
- Address
-
10651 E STCORPUS CHRISTI, TX, 784195130Browse TX providers · Browse ZIP 78419
- Phone
- 3619612688
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in CORPUS CHRISTI, TX
| Name | Credential | NPI |
|---|---|---|
| MR. LEE E PRADIA JR. | IDC | 1568439933 |
| MR. KENNETH WAYNE GRAVES | SFIDC | 1689642506 |
| MICHAEL DAVIS | — | 1124097720 |
| MR. JAMES E DAY | — | 1275590184 |
| JEFFREY WILLIAM ARD | IDC | 1417914631 |
| MR. GIDEON ALLEN KAIN | IDC | 1770607145 |
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.