| Doctor Name: | JASON D. MCCANDLESS |
| NPI Number: | 1487952834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | PA-430 |
| Business Practice Address: | 910 James Bowie Dr New Boston, TX - 755702335 |
| Business Phone Number: | 9036145950 |
| Business Fax Number: | 9036145955 |
| Mailing Address: | 919 Hidden Rdg, 6th Floor IRVING |
| State: | TX |
| Postal Code: | 750383813 |
| Phone Number: | 4692822625 |
| Fax Number: | 4692822655 |
| NPI Enumeration Date: | 03/09/2011 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA-430 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |