Jaden Heber Fackrell, MD is a student in an organized health care education training program in Lubbock, TX with 5 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jaden Heber Fackrell, MD NPI is 1619534393. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2019
The provider's business location address is:
3601 4TH ST
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-6144
The NPI 1619534393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/29/2019 and was last updated on 5/29/2019.