JASON M DEFEE, MD, PA
Medical Practice at Sherwood Way, San Angelo, TX

License number
Texas L6027
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DR. JASON MILES DEFEE M.D.
Title: OWNER
Phone: (325) 658-8020
Address
Address
3814 Sherwood Way, San Angelo, TX 76901
National Provider ID: 1679624555
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JASON M. DEFEE, MD, PA

San Angelo, TX

Status:
Inactive
Registration:
Sep 2, 2004
Addresses:
3814 Sherwood Way, San Angelo, TX 76901 (Mailing)
102 N Magdalen St, San Angelo, TX 76903
State ID:
0800385304
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member:
Jason M. Defee President, Treasurer, Secretary, Director, Member, inactive
Agent:
Jim Defee,3814 Sherwood Way, San Angelo, TX 76901 (Physical)
TIN:
32035544884

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