Most Relevant Information
Provider Data
| NPI Number: | 1003216193 |
| Provider Name: | BILLY ADAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 189944 |
Most Important Dates
| Enumeration Date: | 08/26/2014 |
| Last Updated: | 08/26/2014 |
Provider Practice Location
814 OGDEN ST
JASPER
TX
759513468
Practice Location Phone/Fax
| Phone: | 4093838568 |
| Fax: |
Provider Mailing Location
814 OGDEN ST
JASPER
TX
759513468
Provider Mailing Phone/Fax
| Phone: | 4093838568 |
| Fax: |