IndividualActive
Mark Jacques, M.D.
NPI 1780702811 · Aerospace Medicine Physician · Fort Cavazos, TX
Provider details
- NPI number
- 1780702811
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 219194 (NY)
Practice location
590 Medical Center Road
Fort Cavazos, TX 76544
Phone: (254) 553-6228
Mailing address
590 Medical Center Road
Fort Cavazos, TX 76544
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.