Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON ISAIAH CRUTCH
Active Sole ProprietorJACKSON ISAIAH CRUTCH is a Contractor healthcare provider located in DALLAS, Texas. NPI 1962012138 is currently active in the NPPES registry. Verify at CMS.
Contractor · DALLAS, TX
Registration Details
- NPI Number
- 1962012138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2020 (6.0531275888909 yrs)
- Last Updated
- Aug 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
8500 N STEMMONS FWY STE 3052DALLAS, TX, 752473969Browse TX providers · Browse ZIP 75247
- Phone
- 2566651604
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. BRYAN JOSEPH AUSTIN | D.M.E | 1659442234 |
| MISS JULIE BENELL TYLER | — | 1285778720 |
| JENNIFER METEVIER SMITH | MPT | 1518187814 |
| MRS. AMBER WATTS | — | 1740495514 |
| MR. NZENWATA ABENGOWE | — | 1962605386 |
| IRENE CLEMONS | — | 1528240546 |
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.