Provider Demographics
NPI:1295956787
Name:JARRARD, MICHAEL ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:JARRARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:BNSF RAILWAY
Mailing Address - Street 2:2500 LOU MENK DR AOB-GL
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131
Mailing Address - Country:US
Mailing Address - Phone:817-352-1604
Mailing Address - Fax:817-352-7507
Practice Address - Street 1:BNSF RAILWAY
Practice Address - Street 2:2500 LOU MENK DR AOB-GL
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131
Practice Address - Country:US
Practice Address - Phone:817-352-1604
Practice Address - Fax:817-352-7507
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA446842083X0100X
TXL18962083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine