Jack Ingram, M.D.

Psychiatry Physician · Ft Worth, TX

Individual Active NPI

NPI number 1518412949

Practice location

1500 S Main St
Ft Worth, TX 76104-4917
Phone
(817) 702-3431

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NPI record

NPI
1518412949
Entity type
Individual (Type 1)
Enumeration date
August 15, 2016
Last updated
August 15, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X BP10055948 TX

About Dr. Ingram

Jack Ingram, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 1500 S Main St, Ft Worth, TX 76104-4917. The NPI number 1518412949 was assigned on August 15, 2016 and the record was last updated on August 15, 2016.

Dr. Ingram lists a license in the registry: #BP10055948 (TX) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Ingram, M.D.?

The NPI number is 1518412949.

What is the phone number of Dr. Ingram?

The phone number listed for the practice location is (817) 702-3431.

Where is Dr. Ingram located?

1500 S Main St, Ft Worth, TX 76104-4917.

What is the taxonomy code for Dr. Ingram?

The primary taxonomy code is 2084P0800X – Psychiatry Physician.

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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