IndividualActive
Byron Jefferson
NPI 1699496042 · Contractor · Crandall, TX
Provider details
- NPI number
- 1699496042
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 08113743 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
3088 N Ridge
Crandall, TX 75114-5132
Phone: (214) 448-4684
Approximate (ZIP-level) locationGet directions
Mailing address
3088 N Ridge
Crandall, TX 75114-5132
Registry dates
- Enumerated
- 2022-09-05
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.