Individual
JAYMA MICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S MAIN ST FL 10, FORT WORTH, TX 76104-4917
(817) 702-4151
Mailing address
6301 ALMEDA RD APT 512, HOUSTON, TX 77021-1059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11622
TX
Other
Enumeration date
11/15/2017
Last updated
05/01/2025
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