Individual
MRS. JACKELINE BOBADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
5750 PINELAND DR, DALLAS, TX 75231-5300
(214) 221-0855
Mailing address
5750 PINELAND DR, DALLAS, TX 75231-5300
(214) 221-0855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA18520
TX
363A00000X
Physician Assistant
Primary
PA18520
TX
Other
Enumeration date
05/17/2017
Last updated
02/13/2025
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