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MR. CHADDRICK LENDON JACK
NPI 1922068246
Military Health Care Provider - Independent Duty Corpsman in Corpus Christi, TX

Active since March 23, 2006
10651 E ST, CORPUS CHRISTI, TX 78419(361) 961-2688 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Chaddrick Lendon Jack NPPES

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

MR. CHADDRICK LENDON JACK (NPI 1922068246) is an individual independent duty corpsman provider in Corpus Christi, Texas, licensed in Texas (1710I1002X) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1922068246
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. CHADDRICK LENDON JACK
Location Address10651 E STCorpus Christi, TX 78419-5130
Mailing Address10651 E StCorpus Christi, TX 78419-5130 · (361) 961-2688
Phone(361) 961-2688
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1922068246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed in TX · 1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
10651 E ST, Corpus Christi, TX 78419
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Other Identifiers 1

Other1710I1002XTX · Independent Duty Corpsman

Other Providers at the Same Location NPPES 20

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

JOHN M DISCHERT PHARM D
Pharmacist
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-2260
JOSE ENRIQUE NIEVES PA-C
Physician Assistant (Medical)
10651 E ST, NAVAL HOSPITAL CORPUS CHRISTI DEPARTMENT FAMILY PRACTIC
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-2688
MRS. MICHELLE PEREZ-VEGA LMSW
Social Worker
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-4311
DR. EMILE JEUNESSE
General Practice
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-6000
MS. EDNA M. EVERETT PHARMACIST
Pharmacist
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-3186
DR. CHAD BRADFORD M.D.
Psychiatry & Neurology (Psychiatry)
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-3620
MICHAEL DAVIS
Military Health Care Provider (Independent Duty Corpsman)
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-6089
DR. TOBIAH SPINK PHARMD RPH
Pharmacist
10651 E ST
CORPUS CHRISTI, TX 78419
Nueces County (361) 961-4311

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 Chaddrick Jack's NPI number?

The NPI number for Chaddrick Jack is 1922068246. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Chaddrick Jack located?

Chaddrick Jack practices at 10651 E St, Corpus Christi, TX 78419. The listed phone number is (361) 961-2688.

What is Chaddrick Jack's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Chaddrick Jack was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.