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Individual

JASMIN ILEANA PIMENTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-1164
(617) 894-2621
Mailing address
6226 FRISCO SQUARE BLVD, FRISCO, TX 75034-3278

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17428
TX
363AM0700X
Medical Physician Assistant
MA063692
PA

Other

Enumeration date
07/15/2022
Last updated
12/12/2025
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