Dr JACK NEEDHAM JR. is a male medical professional, specializing in General Surgery. He graduated in 2005.
HENDRICK PROVIDER NETWORK
1900 PINE ST
ABILENE
TX
796012432
Tel:
| Npi | 1770782369 |
| Pac Id | 9335321835 |
| Professional Enrollment Id | I20110830000754 |
| Last Name | NEEDHAM |
| First Name | JACK |
| Middle Name | |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | |
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| Organization Legal Name | HENDRICK PROVIDER NETWORK |
| Group Practice Pac Id | 9739162181 |
| Number Of Group Practice Members | 102 |
| Line 1 Street Address | 1900 PINE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | ABILENE |
| State | TX |
| Zip Code | 796012432 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 450229 |
| Hospital Affiliation Lbn 1 | HENDRICK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 450558 |
| Hospital Affiliation Lbn 2 | ABILENE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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