Individual
JENNIFER LISCH MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8220 WALNUT HILL LN STE 710, DALLAS, TX 75231-4427
(214) 368-6707
(214) 368-1804
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08252
TX
363AM0700X
Medical Physician Assistant
PA9112291
FL
Other
Enumeration date
01/04/2013
Last updated
06/23/2021
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