Individual
DR. JILL DANETTE AWTREY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2850 LEWIS LN, #109, PARIS, TX 75462-2019
(903) 782-9500
(903) 782-9550
Mailing address
PO BOX 6217, PARIS, TX 75461
(903) 782-9500
(903) 782-9550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L4233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3017
OUT OF STATE LICENSE NUMB
OK
Enumeration date
05/19/2006
Last updated
07/08/2007
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