Individual
JACQUELYN RACHELLE GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10840 TEXAS HEALTH TRL STE 110, FORT WORTH, TX 76244-6847
(682) 212-6437
Mailing address
2900 N INTERSTATE 35 STE 210, DENTON, TX 76201-5145
(940) 323-3440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09484
TX
Other
Enumeration date
10/21/2014
Last updated
02/25/2022
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