Individual
JENNA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1650 ROUND ROCK AVE STE 100, ROUND ROCK, TX 78681-4082
(866) 552-4866
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
(469) 850-5760
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10987
TX
Other
Enumeration date
11/28/2016
Last updated
06/02/2025
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