| Doctor Name: | JERALD L HEAD |
| NPI Number: | 1144342981 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | H7064 |
| Business Practice Address: | 325 University Blvd Suite 335 Round Rock, TX - 78665 |
| Business Phone Number: | 5125093926 |
| Business Fax Number: | 5125093925 |
| Mailing Address: | 302 University Blvd, Clinic Administration ROUND ROCK |
| State: | TX |
| Postal Code: | 786651032 |
| Phone Number: | 5125093926 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H7064 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |