Individual
JADE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19200 PRESTON RD STE 120, DALLAS, TX 75252-2450
(469) 200-2832
Mailing address
19200 PRESTON RD STE 120, DALLAS, TX 75252-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033505664
—
TX
Enumeration date
01/16/2017
Last updated
04/11/2018
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