Individual
JESSICA PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-1919
(214) 645-1918
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-1919
(214) 645-1918
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H6522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752637669
TAX ID
TX
Enumeration date
05/12/2006
Last updated
01/06/2014
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