Individual
JAMIE MARIE FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3450 W CAMP WISDOM RD, DALLAS, TX 75237-2515
(214) 214-5800
Mailing address
1113 N CANTERBURY CT, DALLAS, TX 75208-2741
(316) 322-5129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316587001
—
TX
01
—
897N41
BCBS
TX
Enumeration date
12/26/2012
Last updated
12/05/2023
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