Jack D Runyan, PA, PHD is a medical physician assistant in Fairfield, TX. Jack D Runyan, PA, PHD NPI is 1245476282. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
734 W COMMERCE ST
FAIRFIELD, TX
ZIP 75840
Phone: (956) 572-4000
The NPI 1245476282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/22/2008 and was last updated on 8/7/2018.