Individual
JACALYN C SIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
219 OAK DR S STE A, LAKE JACKSON, TX 77566-5675
(979) 297-4033
Mailing address
633 WALNUT ST, LAKE JACKSON, TX 77566-5747
(361) 484-6243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
359
SD
363A00000X
Physician Assistant
Primary
PA05248
TX
Other
Enumeration date
06/20/2005
Last updated
02/21/2017
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