MD Jacy L Retz, NPI 1285667089
Critical Care Medicine (Internal Medicine) Physician in Webster, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285667089
NPI Entity Type Individual
Provider Name MD Jacy L Retz
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 500 W Medical Center Blvd, Webster, TX, US
Provider Mailing Address Po Box 846098, Dallas, TX, US, 752846098
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0200X

Taxonomy Name Critical Care Medicine (Internal Medicine) Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. N5358
License State TX
Description An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Business Address

MD Jacy L Retz
500 W Medical Center Blvd

Webster, TX, US

Phone: 615-371-7879

Mailing Address

MD Jacy L Retz
Po Box 846098
Dallas, TX, US
ZIP 752846098
Phone: 903-324-6450

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RP1001X

Allopathic & Osteopathic Physicians

Internal Medicine

2002001742 MO No

207RC0200X

Allopathic & Osteopathic Physicians

Internal Medicine

2002001742 MO No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1285667089 TX BLUE CROSS BLUE SHIELD 01
217643003 TX MEDICAID 05
75-2616977-042 TX TRICARE 01
810000902 RR MEDICARE 01
8EB371 TX BCBS BLUE 01
100227160A OK MEDICAID 05
205785108 MO MEDICAID 05
100416540A KS MEDICAID 05
P01290935 TX RAIL ROAD 01
144600 MO ANTHEM 01
217643001 TX MEDICAID 05
P00898407 TX MEDICARE RR 01

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Organization

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Organization

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Organization

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