Benjamin Paul Jaquish, M.D.

Vascular Surgery Physician · Temple, TX

Individual Active NPI

NPI number 1194027037

Practice location

2401 S 31st St
Ms-01-390f
Temple, TX 76508-0001
Phone
(775) 750-6083

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NPI record

NPI
1194027037
Entity type
Individual (Type 1)
Enumeration date
November 29, 2010
Last updated
June 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Vascular Surgery Physician Primary 2086S0129X P9206 TX
Surgery Physician 208600000X 4301094774 MI

Mailing address

75 Pringle Way
Ste 1002
Reno, NV 89502-1475
Phone
(775) 323-7500
Fax
(775) 789-9208

About Dr. Jaquish

Benjamin Paul Jaquish, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Surgery Physician (code 2086S0129X). The practice location is 2401 S 31st St, Ms-01-390f, Temple, TX 76508-0001. The NPI number 1194027037 was assigned on November 29, 2010 and the record was last updated on June 13, 2016.

Dr. Jaquish lists 2 licenses in the registry: #P9206 (TX) for Vascular Surgery Physician; #4301094774 (MI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Paul Jaquish, M.D.?

The NPI number is 1194027037.

What is the phone number of Dr. Jaquish?

The phone number listed for the practice location is (775) 750-6083.

Where is Dr. Jaquish located?

2401 S 31st St, Ms-01-390f, Temple, TX 76508-0001.

What is the taxonomy code for Dr. Jaquish?

The primary taxonomy code is 2086S0129X – Vascular Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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