IndividualActive
Chaddrick Jack
NPI 1922068246 · Independent Duty Corpsman · Corpus Christi, TX
Provider details
- NPI number
- 1922068246
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1710I1002X (TX)
Specialties & taxonomies
Other Service Providers
Practice location
10651 E St
Corpus Christi, TX 78419-5130
Phone: (361) 961-2688
Approximate (ZIP-level) locationGet directions
Mailing address
10651 E St
Corpus Christi, TX 78419-5130
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.