Jack D. Runyan, PA, PHD
Physician Assistant · Fairfield, TX
UnclaimedPA, PHDNPI 1245476282
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2008-12-22
- Practice location
- Fairfield, TX
- Last NPPES update
- 2018-08-07
State licenses
- TX · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.