Individual
JESSICA LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
6410 FANNIN ST STE 425, HOUSTON, TX 77030-3005
(713) 486-6755
Mailing address
6410 FANNIN ST STE 425, HOUSTON, TX 77030-3005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13524
TX
Other
Enumeration date
03/16/2021
Last updated
05/27/2021
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