JACOB MAYBERRY ASSISTING SERVICES
NPI 1184950784
Physician Assistant - Surgical in Bridgeport, TX

Q: What is Jacob Mayberry Assisting Services's NPI number?

The NPI number for Jacob Mayberry Assisting Services is 1184950784. It was assigned to this organization in the NPPES registry on November 2, 2009.

Q: What is Jacob Mayberry Assisting Services's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since November 02, 2009

104 BLUE WATER DR, BRIDGEPORT, TX 76426(281) 463-6309(281) 463-6835 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Mayberry Assisting Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MAYBERRY ASSISTING SERVICES (NPI 1184950784) is a healthcare organization registered as a surgical in Bridgeport, Texas and active in the NPI registry since November 2009. The organization lists Jacob Mayberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1184950784

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameJACOB MAYBERRY ASSISTING SERVICES

Location Address104 BLUE WATER DRBridgeport, TX 76426-4336

Mailing AddressPo Box 2201Decatur, TX 76234-6158 · (281) 463-6309 · Fax (281) 463-6835

Phone(281) 463-6309

Fax(281) 463-6835

Organization SubpartNo

Authorized OfficialJacob MayberryOwner · (281) 463-6309

Enumeration DateNovember 2, 2009

Last NPPES UpdateAugust 19, 2014

✔ NPI 1184950784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · C080326A

104 BLUE WATER DR, Bridgeport, TX 76426

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB MAYBERRY AS-C

Clinical Nurse Specialist

104 BLUE WATER DR
BRIDGEPORT, TX 76426

Wise County (940) 683-8078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Mayberry Assisting Services's NPI number?

The NPI number for Jacob Mayberry Assisting Services is 1184950784. It was assigned to this organization in the NPPES registry on November 2, 2009.

Where is Jacob Mayberry Assisting Services located?

Jacob Mayberry Assisting Services is located at 104 Blue Water Dr, Bridgeport, TX 76426. The listed phone number is (281) 463-6309.

What is Jacob Mayberry Assisting Services's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jacob Mayberry Assisting Services was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.